Organization Active NPI

Mark Elliott and Debra Elliott Chiropractic Inc

  • Chiropractor
  • Vista, CA
National Provider Identifier
1982651865
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21223 Issued in CA
Legal business name
MARK ELLIOTT AND DEBRA ELLIOTT CHIROPRACTIC INC
Practice address
1621 S Melrose Dr
Suite F
Vista, CA 92081-5401
Phone
(760) 598-9200
Fax
(760) 598-9202
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Debra T Asakura, DC
Title
Secretary
Phone
(760) 598-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21223 CA Primary

Addresses

Primary practice location

1621 S Melrose Dr
Suite F
Vista, CA 92081-5401

Mailing address

1621 S Melrose Dr
Suite F
Vista, CA 92081-5401
Phone (760) 598-9200

Other names 1

  • Performance Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1621 S Melrose Dr
Ste F
Vista, CA 92081
Phone (760) 598-9200

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1982651865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S MELROSE DR",
            "address_2": "SUITE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815401",
            "telephone_number": "760-598-9200",
            "fax_number": "760-598-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S MELROSE DR",
            "address_2": "SUITE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815401",
            "telephone_number": "760-598-9200",
            "fax_number": "760-598-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ELLIOTT AND DEBRA ELLIOTT CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "ASAKURA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "760-598-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2007; 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.