Organization Active NPI

Colgin Chiropractic and Bay Area Laser Center

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1962712703
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26034 Issued in CA
Legal business name
COLGIN CHIROPRACTIC AND BAY AREA LASER CENTER
Practice address
2001 Winward Way
Suite 102
San Mateo, CA 94404-2469
Phone
(650) 212-1000
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Christopher Michael Colgin, D.C.
Title
Clinic Director
Phone
(650) 212-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26034 CA Primary

Addresses

Primary practice location

2001 Winward Way
Suite 102
San Mateo, CA 94404-2469

Mailing address

2001 Winward Way
Suite 102
San Mateo, CA 94404-2469
Phone (650) 212-1000

National Provider Directory

National Provider Directory

Locations

2001 Winward Way
Ste 102
San Mateo, CA 94404
Phone (650) 571-6800

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1962712703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY",
            "address_2": "SUITE 102",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042469",
            "telephone_number": "650-212-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY",
            "address_2": "SUITE 102",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042469",
            "telephone_number": "650-212-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLGIN CHIROPRACTIC AND BAY AREA LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "COLGIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "650-212-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.