DR. GANELLE LOUISE DIPPE (NPI# 1881720308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881720308 |
| Entity Type | Individual |
| Full Name | DR. GANELLE LOUISE DIPPE |
| Credential | DC |
| Practice Address |
7765 Bodega Ave Sebastopol CA 95472 |
| Practice Telephone | 7078236406 |
| Practice Fax Number | 7078236408 |
| Mailing Telephone | 7078236406 |
| Mailing Fax Number | 7078236408 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC 001351 L | PA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC10832 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ542232 | 01 |
| Street Address |
7765 BODEGA AVE |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164811683 | Trevor Ross Miller | Chiropractor | 7765 Bodega Ave, Sebastopol, CA 95472-3575 | 2015-01-21 |
| 1740493402 | Dippe Chiropractic Corporation | Chiropractor | 7765 Bodega Ave, Sebastopol, CA 95472-3575 | 2007-05-08 |
| 1083741144 | Jerry William Dippe | Chiropractor | 7765 Bodega Ave, Sebastopol, CA 95472 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| 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 |
|---|---|---|---|---|
| 1285968784 | Mira Herman | Chiropractor | 312 Grandview Rd, Sebastopol, CA 95472-2922 | 2009-09-30 |
| 1720249485 | Chad A Bennis | Chiropractor | 978 Gravenstein Hwy South, Sebastopol, CA 95472 | 2008-06-24 |
| 1265605380 | Bonnie May Baclawski | Chiropractor | 7860 Barcaglia Rd, Sebastopol, CA 95472-6407 | 2008-04-09 |
| 1649455478 | Majid Zeinal | Chiropractor | 1540 Gravenstein Hwy. South, Sebastopol, CA 95472-4217 | 2007-12-28 |
| 1437374154 | Laura Polak | Chiropractor | 7145 Maple Ave, Sebastopol, CA 95472-4319 | 2007-04-16 |
| 1629138599 | Brian Creig Langermann | Chiropractor | 8196 Bodega Ave, Sebastopol, CA 95472-3116 | 2006-12-11 |
| 1730252727 | Richard Schechter | Chiropractor | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | 2006-11-16 |
| 1528145372 | Richard W Doble Jr. | Chiropractor | 130 S Main St Ste 203, Sebastopol, CA 95472-4241 | 2006-11-01 |
| 1790799187 | Janet Elaine Hughes | Chiropractor | 7343 Wilton Ave, Sebastopol, CA 95472-3716 | 2006-07-28 |
| 1184073504 | Radiant Health Inc | Chiropractor | 6741 Sebastopol Ave, Suite 160, Sebastopol, CA 95472-3839 | 2016-06-07 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
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| 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.