Active NPI
Joshua Welch, D.C.
- Chiropractor
- South Lake Tahoe, CA
National Provider Identifier
1033526207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31097
- Practice address
- 3637 Larch Ave Ste 1
Safe Haven Chiropractic
South Lake Tahoe, CA 96150-8478 - Phone
- (530) 577-5433
- NPI assigned
- Jul 18, 2014
- Last updated
- Nov 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31097 | CA | Primary |
| Pediatric Chiropractor | 111NP0017X | 31097 | CA |
Addresses
Primary practice location
3637 Larch Ave Ste 1
Safe Haven Chiropractic
South Lake Tahoe, CA 96150-8478
Mailing address
15520 Rockfield Blvd A200
Irvine, CA 92618-6705
Phone (949) 598-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000643 | CA | Practitioner - Chiropractic | 0345560868 | Practice locations: South Lake Tahoe, CA |
| I20220125000067 | NV | Practitioner - Chiropractic | 0345560868 | Practice locations: Gardnerville, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1528 US Hwy 395 N
Suite 255
Gardnerville, NV 89410-5285
Phone (530) 577-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- UT PPO D-SNP
- UT PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1033526207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 ROCKFIELD BLVD A200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186705",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 LARCH AVE STE 1",
"address_2": "SAFE HAVEN CHIROPRACTIC",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961508478",
"telephone_number": "530-577-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31097",
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "31097",
"primary": false
}
],
"identifiers": [],
"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 Nov 3, 2015; 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.