Individual provider Active NPI

Joshua Welch, D.C.

  • Chiropractor
  • South Lake Tahoe, CA
National Provider Identifier
1033526207
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31097 Issued in CA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.