Individual provider Active NPI

Chris Cedars, D.C.

  • Chiropractor
  • Granite Bay, CA
National Provider Identifier
1144774837
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33481 Issued in CA
Practice address
6910 Douglas Blvd Ste D
Granite Bay, CA 95746-6276
Phone
(916) 597-1640
NPI assigned
Aug 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33481 CA Primary

Addresses

Primary practice location

6910 Douglas Blvd Ste D
Granite Bay, CA 95746-6276

Mailing address

PO Box 4
Nevada City, CA 95959-0004
Phone (530) 446-4574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000500 AK Practitioner - Chiropractic 4486914181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 E Redoubt Ave
Soldotna, AK 99669-8012
Phone (907) 262-9117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soldotna Chiropractic & Upper Cervical LLC Chiropractor CurrentSince Dec 1, 2022 Accepting new patients
Life Chiropractic Grass Valley Cedars Inc. Chiropractor CurrentSince Oct 17, 2021 Accepting new patients

Locations

102 E Redoubt Ave
Soldotna, AK 99669
Phone (907) 262-9117

1200 E Main St
Ste B
Grass Valley, CA 95945
Phone (530) 477-8081

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1144774837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590004",
            "telephone_number": "530-446-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 DOUGLAS BLVD STE D",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466276",
            "telephone_number": "916-597-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDARS",
        "first_name": "CHRIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.