1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Chiropractor
  6. NPI Profile

SOUL SHINE FAMILY CHIROPRACTIC
NPI 1417169533
Chiropractor in Santa Rosa, CA

Active since May 03, 2007
858 SECOND STREET, SANTA ROSA, CA 95404(707) 525-9950(707) 525-9230 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soul Shine Family Chiropractic NPPES

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

SOUL SHINE FAMILY CHIROPRACTIC (NPI 1417169533) is a healthcare organization registered as a chiropractor in Santa Rosa, California and active in the NPI registry since May 2007. The organization lists Lana Marie Surgenor, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1417169533
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLANA SURGENOR CHIROPRACTIC, INC.
Location Address858 SECOND STREETSanta Rosa, CA 95404-4610
Mailing Address858 Second StreetSanta Rosa, CA 95404-4610 · (707) 525-9950 · Fax (707) 525-9230
Phone(707) 525-9950
Fax(707) 525-9230
Organization SubpartNo
Authorized OfficialLana Marie SurgenorChiropractor · (707) 525-9950
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417169533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 29395
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.
858 SECOND STREET, Santa Rosa, CA 95404
Open in Google Maps ↗

Other Names 1

Doing Business AsSoul Shine Family Chiropractic

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 Lana Surgenor Chiropractic, Inc.'s NPI number?

The NPI number for Lana Surgenor Chiropractic, Inc. is 1417169533. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Soul Shine Family Chiropractic.

Where is Lana Surgenor Chiropractic, Inc. located?

Lana Surgenor Chiropractic, Inc. is located at 858 Second Street, Santa Rosa, CA 95404. The listed phone number is (707) 525-9950.

What is Lana Surgenor Chiropractic, Inc.'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 Lana Surgenor Chiropractic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.