NPIMap

Organization Active NPI

Podell Chiropractic Corporation

  • Chiropractor
  • Ridgecrest, CA
National Provider Identifier
1952460065
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12017 Issued in CA
Legal business name
PODELL CHIROPRACTIC CORPORATION
Practice address
840 N Norma St Ste B
Ridgecrest, CA 93555-3570
Phone
(760) 371-1300
Fax
(760) 384-2100
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glenn Carter Podell, D.C.
Title
Owner
Phone
(760) 371-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12017 CA Primary

Addresses

Primary practice location

840 N Norma St Ste B
Ridgecrest, CA 93555-3570

Mailing address

840 N Norma St Ste B
Ridgecrest, CA 93555-3570
Phone (760) 371-1300

National Provider Directory

National Provider Directory

Locations

840 N Norma St
Ste B
Ridgecrest, CA 93555
Phone (760) 371-1300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1952460065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N NORMA ST STE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553570",
            "telephone_number": "760-371-1300",
            "fax_number": "760-384-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N NORMA ST STE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553570",
            "telephone_number": "760-371-1300",
            "fax_number": "760-384-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODELL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "PODELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-371-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.