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DR. MARY L BACON D.C.
NPI 1255439402
Chiropractor in Oakland, CA

Active since September 20, 2006
230 GRAND AVE, SUITE 301C, OAKLAND, CA 94610(510) 663-1145(510) 663-1146 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary L Bacon D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY L BACON D.C. (NPI 1255439402) is an individual chiropractor in Oakland, California, licensed in California (16993) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1255439402
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARY L BACONCredential: D.C.
Location Address230 GRAND AVE, SUITE 301COakland, CA 94610-4589
Mailing Address230 Grand Ave, Suite 301cOakland, CA 94610-4589 · (510) 663-1145 · Fax (510) 663-1146
Phone(510) 663-1145
Fax(510) 663-1146
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255439402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 16993
Definition
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.
230 GRAND AVE, Oakland, CA 94610
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Other Identifiers 1

Medicare ID-Type UnspecifiedDCO169930CA · Medicare Provider #

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINE ZOE COHEN L.AC.
Acupuncturist
230 GRAND AVE, STE. 202
OAKLAND, CA 94610
Alameda County (510) 326-7022
DR. PAUL FREDERICK GAISER PSYD
Psychologist
230 GRAND AVE, #304
OAKLAND, CA 94610
Alameda County (510) 286-7619
VALERIE RAZUTIS MS, L.AC.
Acupuncturist
230 GRAND AVE, SUITE 301C
OAKLAND, CA 94610
Alameda County (510) 530-8798
MISS JULIE BOGDANSKI L.AC.
Acupuncturist
230 GRAND AVE, SUITE #301C
OAKLAND, CA 94610
Alameda County (510) 387-0852
DR. CALVIN B. LOW D.D.S.
Dentist (General Practice)
230 GRAND AVE, SUITE 101
OAKLAND, CA 94610
Alameda County (510) 465-0700
ANN GORDON PH.D.
Psychologist
230 GRAND AVE, STE 204
OAKLAND, CA 94610
Alameda County (510) 501-5972
AMANDA GEAN SPEECH-LANGUAGE PATHOLOGY, INC
Speech-Language Pathologist
230 GRAND AVE
OAKLAND, CA 94610
Alameda County (415) 238-8418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bacon's NPI number?

The NPI number for Mary Bacon is 1255439402. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mary Bacon located?

Mary Bacon practices at 230 Grand Ave Suite 301C, Oakland, CA 94610. The listed phone number is (510) 663-1145.

What is Mary Bacon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mary Bacon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.