ACTIVE SPINE AND SPORTS CLINIC NPI 1619183084

NPI Information

  • NPI: 1619183084
  • Provider Name: ACTIVE SPINE AND SPORTS CLINIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 3151 OLIN AVE
    STE 103
    SAN JOSE, CA
    ZIP 95117
  • Phone: (408) 247-8812

Map and Directions

Get Directions

NPI Details

ACTIVE SPINE AND SPORTS CLINIC is a chiropractor in San Jose, 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. ACTIVE SPINE AND SPORTS CLINIC NPI is 1619183084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3151 OLIN AVE
STE 103
SAN JOSE, CA
ZIP 95117-635
Phone: (408) 247-8812
Fax: (408) 247-8814

The provider's authorized official is Colle Hunt .
The authorized official title is Owner and has the following contact phone number (408) 247-8812.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1111N00000XChiropractorDC 29365CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.