Individual provider Active NPI

Katharina Christine Welborn, D.C.

  • Chiropractor
  • Granite Bay, CA
National Provider Identifier
1174507701
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-29303 Issued in CA
Practice address
8605 Auburn Folsom Rd
Granite Bay, CA 95746-6202
Phone
(916) 872-1120
Fax
(916) 872-1125
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01061 NV
Independent Medical Examiner Chiropractor 111NI0013X B01061 NV
Chiropractor 111N00000X DC-29303 CA Primary

Addresses

Primary practice location

8605 Auburn Folsom Rd
Granite Bay, CA 95746-6202

Mailing address

8700 Aurburn Folsom Rd
Suite 300
Granite Bay, CA 95746-9501
Phone (916) 872-1120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000315 CA Practitioner - Chiropractic 4688683428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8700 Auburn Folsom Rd
Suite 400
Granite Bay, CA 95746-8501
Phone (916) 872-3426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-29303CAMDChiropractor
B01061NVMDChiropractor
29303CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret K. Smith Chiropractic, Inc. CurrentSince Apr 6, 2025 Accepting new patients
Welborn Chiropractic Corporation Chiropractor CurrentSince Dec 1, 2018 Accepting new patients

Locations

8700 Auburn Folsom Rd
Ste 300
Granite Bay, CA 95746
Phone (916) 788-1060

8605 Auburn Folsom Rd
Granite Bay, CA 95746
Phone (916) 587-2112

8700 Auburn Folsom Rd
Ste 400
Granite Bay, CA 95746
Phone (916) 251-9034

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1174507701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 AURBURN FOLSOM RD",
            "address_2": "SUITE 300",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469501",
            "telephone_number": "916-872-1120",
            "fax_number": "916-872-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 AUBURN FOLSOM RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466202",
            "telephone_number": "916-872-1120",
            "fax_number": "916-872-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "KATHARINA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01061",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NV",
            "license": "B01061",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-29303",
            "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 Dec 30, 2019; 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.