NPIMap

Organization Active NPI

Coffman Chiropractic Corp.

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1992229058
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33609 Issued in CA
Legal business name
COFFMAN CHIROPRACTIC CORP.
Practice address
1601 Carmen Dr Ste 112
Camarillo, CA 93010-3100
Phone
(805) 383-9114
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brent Coffman, DCNPI 1063862134
Title
Owner/President
Phone
(805) 383-9114

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 33609 CA Primary

Addresses

Primary practice location

1601 Carmen Dr Ste 112
Camarillo, CA 93010-3100

Mailing address

1601 Carmen Dr Ste 112
Camarillo, CA 93010-3100
Phone (805) 383-9114

National Provider Directory

National Provider Directory

Locations

1601 Carmen Dr
Ste 112
Camarillo, CA 93010
Phone (805) 383-9114

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992229058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 112",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103100",
            "telephone_number": "805-383-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 112",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103100",
            "telephone_number": "805-383-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFMAN CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "805-383-9114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.