Individual provider Active NPI

Karen Marie Borges, DC

  • Chiropractor
  • South Lake Tahoe, CA
National Provider Identifier
1003831546
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17019 Issued in CA
Practice address
2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408
Phone
(530) 544-5800
Fax
(530) 544-5802
NPI assigned
Jul 13, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17019 CA Primary

Addresses

Primary practice location

2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408

Mailing address

2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408
Phone (530) 544-5800

Other identifiers 1

IdentifierTypeStateIssuer
DC0170190OtherCABLUE CROSS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000744 CA Practitioner - Chiropractic 9638239916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borges Chiropractic a PCGroup PAC ID 0244267441, 2 clinicians

Practice addresses (Care Compare)

2074 Lake Tahoe Blvd
Suite 5
South Lake Tahoe, CA 96150-6408
Phone (530) 544-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17019CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Borges Chiropractic a PC Chiropractor CurrentSince Apr 22, 2008 Accepting new patients

Locations

2074 Lake Tahoe Blvd
Ste 5
South Lake Tahoe, CA 96150
Phone (530) 544-5800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1003831546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-544-5800",
            "fax_number": "530-544-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-544-5800",
            "fax_number": "530-544-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "DC0170190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.