Organization Active NPI

Welborn DC Professional Corporation

Doing business as The Healthy Spine Center

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1053646257
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29-303 Issued in CA
Legal business name
WELBORN DC PROFESSIONAL CORPORATION
Doing business as
The Healthy Spine Center
Practice address
1269 Pleasant Grove Blvd
Suite 190
Roseville, CA 95747-5885
Phone
(530) 401-6512
Fax
(877) 372-6670
NPI assigned
Oct 6, 2009
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Katharina Christine Welborn, D.C.
Title
Owner
Phone
(530) 401-6512

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29-303 CA Primary
Chiropractor 111N00000X B01061 NV

Addresses

Primary practice location

1269 Pleasant Grove Blvd
Suite 190
Roseville, CA 95747-5885

Mailing address

1269 Pleasant Grove Blvd
Suite 190
Roseville, CA 95747-5885
Phone (530) 401-6512

Other names 1

  • The Healthy Spine Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1053646257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 PLEASANT GROVE BLVD",
            "address_2": "SUITE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475885",
            "telephone_number": "530-401-6512",
            "fax_number": "877-372-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 PLEASANT GROVE BLVD",
            "address_2": "SUITE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475885",
            "telephone_number": "530-401-6512",
            "fax_number": "877-372-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELBORN DC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "KATHARINA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-401-6512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29-303",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthy Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.