Organization Active NPI

Sullivan Chiropractic Center Inc

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1992000673
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15406 Issued in CA
Legal business name
SULLIVAN CHIROPRACTIC CENTER INC
Practice address
4678 N 1St St
Fresno, CA 93726-0903
Phone
(559) 438-8900
Fax
(559) 227-7701
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Charles Bret Sullivan, D.C.
Title
Owner
Phone
(559) 438-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC15406 CA Primary

Addresses

Primary practice location

4678 N 1St St
Fresno, CA 93726-0903

Mailing address

4678 N 1St St
Fresno, CA 93726-0903
Phone (559) 438-8900

National Provider Directory

National Provider Directory

Locations

4678 N 1st St
Fresno, CA 93726
Phone (559) 226-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1992000673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260903",
            "telephone_number": "559-438-8900",
            "fax_number": "559-227-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260903",
            "telephone_number": "559-438-8900",
            "fax_number": "559-227-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-438-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.