Organization Active NPI

Diehl Chiropractic, Inc.

  • Chiropractor
  • Westlake Village, CA
National Provider Identifier
1083998207
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25686 Issued in CA
Legal business name
DIEHL CHIROPRACTIC, INC.
Practice address
2900 Townsgate Rd
Suite 212
Westlake Village, CA 91361-3001
Phone
(805) 496-1000
Fax
(805) 496-1011
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. David W Diehl, D.C.NPI 1598857575
Title
President
Phone
(805) 496-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25686 CA Primary

Addresses

Primary practice location

2900 Townsgate Rd
Suite 212
Westlake Village, CA 91361-3001

Mailing address

2900 Townsgate Rd
Suite 212
Westlake Village, CA 91361-3001
Phone (805) 496-1000

Other names 1

  • Maximized Life Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140320000443 CA Part B Supplier - Clinic/Group Practice 7315936200 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

2900 Townsgate Rd
Ste 212
Westlake Village, CA 91361
Phone (805) 496-1000

280 N Westlake Blvd
Ste 100
Westlake Village, CA 91362
Phone (805) 496-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1083998207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 TOWNSGATE RD",
            "address_2": "SUITE 212",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613001",
            "telephone_number": "805-496-1000",
            "fax_number": "805-496-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TOWNSGATE RD",
            "address_2": "SUITE 212",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613001",
            "telephone_number": "805-496-1000",
            "fax_number": "805-496-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEHL CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-496-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maximized Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.