Dr. Scott Nissenbaum Chiropractic LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

31093 Issued in CA

Legal business name

DR. SCOTT NISSENBAUM CHIROPRACTIC LLC

Practice address

1100 Laurel St Ste D
San Carlos, CA 94070-5000

Phone

(650) 226-8348

Fax

(650) 666-6747

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Scott David Nissenbaum, D.C.

Title

Owner

Phone

(650) 226-8348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Timothy Youngkyun Woo, DC

  • Chiropractor
  • San Carlos, CA
  • NPI 1962025437
  NPD

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1134563687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAUREL ST STE D",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705000",
            "telephone_number": "650-226-8348",
            "fax_number": "650-666-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAUREL ST STE D",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705000",
            "telephone_number": "650-226-8348",
            "fax_number": "650-666-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOTT NISSENBAUM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "NISSENBAUM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-226-8348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Le Dorsey, M.D.
• Dr Arlan W Young DC Chiropractic Corp
• Dr. Carla Rudolph Chiropractic Inc.
• Dr. Lisa Pierotti Healthsource Chiropractic and Nutrition, Inc.
• Dr. Scott Nissenbaum Chiropractic LLC
• Xiaoli Du
• Sonia Duggal
• Thomas Duncan
• Elizabeth Dunckel, MA, MFT
• Trang H Duong

• Rehabilitation Chiropractor in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.