Organization Active NPI

Runnerstrum Chiropractic & Nutrition Inc

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1992340434
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RUNNERSTRUM CHIROPRACTIC & NUTRITION INC
Practice address
104 Traffic Way Ste B
Arroyo Grande, CA 93420-3451
Phone
(805) 481-9191
Fax
(805) 481-9192
NPI assigned
Nov 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Dr. Alana Amber Runnerstrum, DCNPI 1104031491
Title
Chiropractor
Phone
(805) 481-9191

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 Primary

Addresses

Primary practice location

104 Traffic Way Ste B
Arroyo Grande, CA 93420-3451

Mailing address

104 Traffic Way Ste B
Arroyo Grande, CA 93420-3451
Phone (805) 481-9191

Other identifiers 1

IdentifierTypeStateIssuer
4149OtherCACORPORATE CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200114002622 CA Part B Supplier - Clinic/Group Practice 3971938259 Receives reassigned benefits from 1 practitioner
Practice locations: Arroyo Grande, CA

National Provider Directory

National Provider Directory

Locations

104 Traffic Way
Ste B
Arroyo Grande, CA 93420
Phone (805) 431-9191

Practitioners & affiliated clinicians

Practitioners 3

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": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1992340434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TRAFFIC WAY STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203451",
            "telephone_number": "805-481-9191",
            "fax_number": "805-481-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TRAFFIC WAY STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203451",
            "telephone_number": "805-481-9191",
            "fax_number": "805-481-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNERSTRUM CHIROPRACTIC & NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "RUNNERSTRUM",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-481-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE CERTIFICATE",
            "identifier": "4149",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.