Active NPI
Mark Elliott and Debra Elliott Chiropractic Inc
- Chiropractor
- Vista, CA
National Provider Identifier
1982651865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21223
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.