Provider Demographics
NPI:1730306515
Name:OAK POINT CHIROPRACTIC & WELLNESS CENTER
Entity Type:Organization
Organization Name:OAK POINT CHIROPRACTIC & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-484-0321
Mailing Address - Street 1:3800 WATT AVENUE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2622
Mailing Address - Country:US
Mailing Address - Phone:916-484-0321
Mailing Address - Fax:916-481-6830
Practice Address - Street 1:3800 WATT AVENUE
Practice Address - Street 2:SUITE 120
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2622
Practice Address - Country:US
Practice Address - Phone:916-484-0321
Practice Address - Fax:916-481-6830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0284290Medicare ID - Type Unspecified
CAT04169Medicare UPIN
CADC0110340Medicare ID - Type Unspecified
CA35044433Medicare ID - Type UnspecifiedRAILROAD MEDICARE
CAU91940Medicare UPIN
CAP00147714Medicare ID - Type UnspecifiedRAILROAD MEDICARE