ADVANCED CHIROPRATIC AND SPORTS CARE LLC (NPI# 1063730604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063730604 |
| Entity Type | Organization |
| Organization Name | ADVANCED CHIROPRATIC AND SPORTS CARE LLC |
| Practice Address |
31610 Railroad Canyon Rd Ste 4 Canyon Lake CA 92587-9454 |
| Practice Telephone | 9512447622 |
| Practice Fax Number | 9512462657 |
| Mailing Telephone | 9512447622 |
| Mailing Fax Number | 9512462657 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Authorized Official Name | DR. JULIE HONAKER ZIMMERER (MEMBER) |
| Authorized Official Telephone | 9512447622 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC17619 | CA | Chiropractic Providers |
| Street Address |
31610 RAILROAD CANYON RD STE 4 |
| City | CANYON LAKE |
| State | CA |
| Zip Code | 92587-9454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756141 | My Choice Senior Care Inc | In Home Supportive Care | 31610 Railroad Canyon Rd Ste 4, Canyon Lake, CA 92587-9454 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964635 | Aliah Hasan | Marriage & Family Therapist | 29049 Scout Crt, Canyon Lake, CA 92587 | 2019-07-22 |
| 1316308166 | Chanel Chew Castillo | Dentist | 30290 Skippers Way Dr, Canyon Lake, CA 92587 | 2016-03-08 |
| 1306165709 | Jennifer D Lewis | Massage Therapist | 23717 Cruise Circle Dr, Canyon Lake, CA 92587 | 2010-05-25 |
| 1902901630 | William Brent Robinson | Dentist | 31570 Railroad Canyon Rd, Ste 101, Canyon Lake, CA 92587 | 2006-09-14 |
| 1629582820 | Ashleigh Brown | Specialist/Technologist | 30060 Skippers Way Dr, Canyon Lake, CA 92587-7404 | 2017-11-27 |
| 1013171255 | California Medical Supply | Durable Medical Equipment & Medical Supplies | 30199 Skippers Way Dr, Canyon Lake, CA 92587-7405 | 2008-07-16 |
| 1548748635 | Mason Dental Hygiene Group | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2018-08-01 |
| 1720633027 | Amy Lynn Mason | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2019-08-05 |
| 1477752558 | Roger Strong | Dentist | 30389 Point Marina Dr, Canyon Lake, CA 92587-7413 | 2007-07-17 |
| 1508193392 | Ku Il Lee | Chiropractor | 29806 Santa Maria Dr, Canyon Lake, CA 92587-7426 | 2009-11-16 |
| Find all providers in zip 92587 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508193392 | Ku Il Lee | Chiropractor | 29806 Santa Maria Dr, Canyon Lake, CA 92587-7426 | 2009-11-16 |
| 1861678955 | Jeffrey C.swink Chiropracitic Inc. | Chiropractor | 31508 Railroad Canyon Rd, Canyon Lake, CA 92587-9413 | 2008-01-18 |
| 1164548632 | John Maurice Allen | Chiropractor | 32150 Railroad Canyon Rd, Canyon Lake, CA 92587-9212 | 2007-03-22 |
| 1679622781 | Sandee R Fabling | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133-4743 | 2007-01-09 |
| 1619059060 | Brandon Grimm D.c. P.a. | Chiropractor | 14812 South Access Road, Canyon Lake, TX 78133 | 2006-10-19 |
| 1649288630 | Julie Zimmerer | Chiropractor | 31610 Railroad Canyon Rd, #5, Canyon Lake, CA 92587-9454 | 2006-08-04 |
| 1649543455 | Jeffrey Quentin Harper | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133 | 2012-02-10 |
| 1326210337 | J.c. Swink Chiropractic Inc. | Chiropractor | 31532 Railroad Canyon Rd, Suite 112, Canyon Lake, CA 92587-9437 | 2008-03-31 |
| 1689895872 | Hill Country Chiropractic Clinic | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133-4743 | 2007-05-02 |
| 1093839698 | Jeff C. Swink | Chiropractor | 31532 Railroad Canyon Rd, Suite 112, Canyon Lake, CA 92587-9437 | 2007-03-19 |
| Find all providers in CANYON LAKE | ||||
| City | CANYON LAKE |
| Zip Code | 92587 |
Please comment or provide details below to improve the information on ADVANCED CHIROPRATIC AND SPORTS CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.