CHARLES A. SAENZ (SAENZ CHIROPRACTIC OFFICE) - NPI NUMBER 1598780280

Summary

Provider Name: CHARLES A. SAENZ (SAENZ CHIROPRACTIC OFFICE)

NPI Number: 1598780280

Clasification: Chiropractor (111N00000X)

Address:
601 16TH ST
MODESTO, CA
ZIP 95354

Phone Number: (209) 526-1288



Detailed Information

CHARLES A. SAENZ is a chiropractor in Modesto, CA. The provider is 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. The assigned NPI number for this provider is 1598780280 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Saenz Chiropractic Office.

The provider's business address is:

601 16TH ST
MODESTO, CA
ZIP 95354-516
Phone: (209) 526-1288
Fax: (209) 338-0397

The provider's authorized official is Charles Alan Saenz .
The authorized official title is Owner and has the following contact phone number (209) 526-1288.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 111N00000X Chiropractor 16509 CA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 T06162 MEDICARE UPIN CA
2 DC0165090 MEDICARE ID-TYPE UNSPECIFIED CA LICENSE NUMBER

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1598780280 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name CHARLES A. SAENZ The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name SAENZ CHIROPRACTIC OFFICE Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 601 16TH ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name MODESTO The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 953542516 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 2095261288 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 2093380397 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 7/13/2006 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 7/8/2007 The date that a record was last updated or changed.
16 Authorized Official Last Name SAENZ The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name CHARLES The first name of the authorized official.
18 Authorized Official Middle Name ALAN The middle name of the authorized official.
19 Authorized Official Title or Position OWNER The title or position of the authorized official.
20 Authorized Official Telephone Number 2095261288 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 111N00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Provider License Number 1 16509 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
23 Provider License Number State Code 1 CA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 T06162 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier State 1 CA
28 Other Provider Identifier 2 DC0165090 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 2 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier State 2 CA
31 Other Provider Identifier Issuer 2 LICENSE NUMBER
32 Authorized Official Name Prefix Text DR.
33 Authorized Official Credential Text D.C.
34 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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