NPIMap

Organization Active NPI

Screen Chiropractic Inc.

  • Chiropractor
  • Turlock, CA
National Provider Identifier
1114225018
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23715 Issued in CA
Legal business name
SCREEN CHIROPRACTIC INC.
Practice address
991 E Monte Vista Ave
#2
Turlock, CA 95382-0636
Phone
(209) 632-3662
Fax
(209) 633-2629
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Kevin Wayne Screen, D.C.NPI 1104988039
Title
Owner
Phone
(209) 632-3662

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 23715 CA Primary

Addresses

Primary practice location

991 E Monte Vista Ave
#2
Turlock, CA 95382-0636

Mailing address

991 E Monte Vista Ave
#2
Turlock, CA 95382-0636
Phone (209) 632-3662

Other names 1

  • Colorado Chiropractic Center Former legal business name

National Provider Directory

National Provider Directory

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1114225018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 E MONTE VISTA AVE",
            "address_2": "#2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820636",
            "telephone_number": "209-632-3662",
            "fax_number": "209-633-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 E MONTE VISTA AVE",
            "address_2": "#2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820636",
            "telephone_number": "209-632-3662",
            "fax_number": "209-633-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCREEN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "SCREEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-632-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.