Individual provider Active NPI

Joseph David Dzendzel, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1982862447
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26381 Issued in CA
Practice address
3650 Clairemont Dr
Suite 2
San Diego, CA 92117-5908
Phone
(858) 272-7002
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26381 CA Primary

Addresses

Primary practice location

3650 Clairemont Dr
Suite 2
San Diego, CA 92117-5908

Mailing address

3650 Clairemont Dr
Suite 2
San Diego, CA 92117-5908
Phone (858) 272-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26381CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dzendzel Family Chiropractic Chiropractor Past Accepting new patients

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1982862447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 CLAIREMONT DR",
            "address_2": "SUITE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175908",
            "telephone_number": "858-272-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CLAIREMONT DR",
            "address_2": "SUITE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175908",
            "telephone_number": "858-272-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZENDZEL",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.