Active NPI
Chiropractic Neurology Enhancement Center
- Neurology Chiropractor
- Santa Rosa, CA
National Provider Identifier
1184029308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DC#26964
- Legal business name
- CHIROPRACTIC NEUROLOGY ENHANCEMENT CENTER
- Practice address
- 95 Montgomery Dr
Suite 118
Santa Rosa, CA 95404-6630 - Phone
- (707) 228-8405
- NPI assigned
- Oct 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marjan Kaveh, DC , DACNB
- Title
- Chiropractor and Functional Neurolo
- Phone
- (707) 228-8405
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | DC#26964 | CA | Primary |
Addresses
Primary practice location
95 Montgomery Dr
Suite 118
Santa Rosa, CA 95404-6630
Mailing address
95 Montgomery Dr
Suite 118
Santa Rosa, CA 95404-6630
Phone (707) 228-8405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
95 Montgomery Dr
Ste 118
Santa Rosa, CA 95404
Phone (707) 228-8405
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": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1184029308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR",
"address_2": "SUITE 118",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046630",
"telephone_number": "707-228-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR",
"address_2": "SUITE 118",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046630",
"telephone_number": "707-228-8405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC NEUROLOGY ENHANCEMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "KAVEH",
"authorized_official_first_name": "MARJAN",
"authorized_official_title_or_position": "CHIROPRACTOR AND FUNCTIONAL NEUROLO",
"authorized_official_telephone_number": "707-228-8405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC , DACNB"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "DC#26964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.