Individual provider Active NPI

Patrick T Noll, DC

  • Chiropractor
  • Vista, CA
National Provider Identifier
1982626263
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16782 Issued in CA
Practice address
1011 S Santa Fe Ave
Ste F
Vista, CA 92083-6918
Phone
(760) 726-1211
Fax
(760) 726-3969
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 16782 CA
Chiropractor 111N00000X DC16782 CA Primary

Addresses

Primary practice location

1011 S Santa Fe Ave
Ste F
Vista, CA 92083-6918

Mailing address

1011 S Santa Fe Ave
Ste F
Vista, CA 92083-6918
Phone (760) 726-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000472 CA Practitioner - Chiropractic 2567543069 Practice locations: Vista, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1011 S Santa Fe Ave
Suite F
Vista, CA 92083-6918
Phone (760) 726-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16782CAMDChiropractor
16782CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of North Conunty Podiatry Group,Inc. CurrentSince Jan 12, 2020 Accepting new patients

Locations

1011 S Santa Fe Ave
Ste F
Vista, CA 92083
Phone (760) 724-5560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1982626263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S SANTA FE AVE",
            "address_2": "STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836918",
            "telephone_number": "760-726-1211",
            "fax_number": "760-726-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S SANTA FE AVE",
            "address_2": "STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836918",
            "telephone_number": "760-726-1211",
            "fax_number": "760-726-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "16782",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.