NPIMap

Organization Active NPI

Jeff Labrado Chiropractic Corp

Doing business as Dynamic Family Chiropractic

  • Chiropractor
  • Merced, CA
National Provider Identifier
1982792313
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24069 Issued in CA
Legal business name
JEFF LABRADO CHIROPRACTIC CORP
Doing business as
Dynamic Family Chiropractic
Practice address
1347 W Main St
Merced, CA 95340
Phone
(209) 723-4571
Fax
(209) 723-7068
NPI assigned
Oct 11, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Jeff P Labrado, DCNPI 1174606412
Title
Chiropractor/Owner
Phone
(209) 723-4571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24069 CA Primary

Addresses

Primary practice location

1347 W Main St
Merced, CA 95340

Mailing address

1347 W Main St
Merced, CA 95340
Phone (209) 723-4571

Other identifiers 1

IdentifierTypeStateIssuer
DC0240690OtherBLUE SHIELD

Other names 1

  • Dynamic Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1347 W Main St
Merced, CA 95340
Phone (209) 723-4571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1982792313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-723-4571",
            "fax_number": "209-723-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95340",
            "telephone_number": "209-723-4571",
            "fax_number": "209-723-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF LABRADO CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "LABRADO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "209-723-4571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0240690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.