Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710068127 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Mark Rollis , DC

Chiropractor • Santa Clara, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Rollis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2006
NPI Deactivation Date June 17, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Rollis, DC was a registered Chiropractor practicing in Santa Clara, CA. Throughout an active medical career spanning 15 years, Dr. Rollis provided care at the practice location at 225 WASHINGTON ST until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

225 Washington St
Suite B1

Santa Clara, CA 950505975

Telephone 4082464131

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Santa Clara, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
73 Specialists

Practicing in Santa Clara, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA 11509

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Edward Feinberg , DC

Chiropractor - Sports Physician

NPI 1215062849

Doctor of Chiropractic

Dr. Joong Seop Sok , DDS

Dentist - General Practice

NPI 1598760860

Doctor of Dental Surgery

Dr. Michael Mcghee , DC

Chiropractor - Sports Physician

NPI 1982648952

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active November 07, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2007

Registered at 225 WASHINGTON ST, SUITE B1, SANTA CLARA, CA 950505975 (Tel: 4082464131)

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Updated Business Mailing Address November 07, 2007

Registered at 100 OCONNOR DRIVE, SUITE 28, SAN JOSE, CA 951281655 (Tel: 4082464131)

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Provider Name / Credentials Updated November 07, 2007

Recorded as CHARLES ROLLIS, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2007

Chiropractor (License #11509 in CA)

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Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710068127
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: November 07, 2007
Deactivation Date: June 17, 2021

Mailing Address

100 Oconnor Drive, Suite 28

San Jose, CA 951281655

Phone: 4082464131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.