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STATE OF THE HEART WELLNESS
NPI 1386182079
Chiropractor in San Jose, CA

Active since February 02, 2017
7174 SANTA TERESA BLVD STE A7, SAN JOSE, CA 95139(408) 972-5686(408) 972-5682 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2017, Feb 2, 2017 (2 updates tracked since 2017).

About State Of The Heart Wellness NPPES

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

STATE OF THE HEART WELLNESS (NPI 1386182079) is a healthcare organization registered as a chiropractor in San Jose, California and active in the NPI registry since February 2017. The organization lists Tina Roach-gagnon, Owner 50/50, as its authorized official.

NPPES Registry Identity

NPI1386182079
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTATE OF THE HEART WELLNESS
Location Address7174 SANTA TERESA BLVD STE A7San Jose, CA 95139-1350
Mailing Address7174 Santa Teresa Blvd Ste A7San Jose, CA 95139-1350 · (408) 972-5686 · Fax (408) 972-5682
Phone(408) 972-5686
Fax(408) 972-5682
Organization SubpartNo
Authorized OfficialTina Roach-gagnonOwner 50/50 · (408) 972-5686
Enumeration DateFebruary 2, 2017
Last NPPES UpdateMarch 30, 20172 updates tracked since enumeration
✔ NPI 1386182079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC23580
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.
7174 SANTA TERESA BLVD STE A7, San Jose, CA 95139
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 State Of The Heart Wellness's NPI number?

The NPI number for State Of The Heart Wellness is 1386182079. It was assigned to this organization in the NPPES registry on February 2, 2017.

Where is State Of The Heart Wellness located?

State Of The Heart Wellness is located at 7174 Santa Teresa Blvd Ste A7, San Jose, CA 95139. The listed phone number is (408) 972-5686.

What is State Of The Heart Wellness'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 State Of The Heart Wellness was last updated on March 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.