Warde Sports Chiropractic and Laser PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

26165 Issued in CA

Legal business name

WARDE SPORTS CHIROPRACTIC AND LASER PC

Practice address

575 2ND St
Encinitas, CA 92024-3505

Phone

(858) 200-7692

Fax

(858) 200-7692

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Keith Warde, DCNPI 1700911005

Title

President

Phone

(858) 200-7692

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, and the practitioner matching its NPPES authorized official.

• Keith Warde, D.C.

  • Sports Physician Chiropractor
  • Encinitas, CA
  • NPI 1700911005
  Authorized official Same address or phone

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1184129553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920757833",
            "telephone_number": "530-568-5060",
            "fax_number": "530-925-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243505",
            "telephone_number": "858-200-7692",
            "fax_number": "858-200-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDE SPORTS CHIROPRACTIC AND LASER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "WARDE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-200-7692",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleen Elizabeth Walsh
• Pamela Walsh, PHARM.D.
• Juliana Marie Wambach, BS
• Ashley Wang
• Jenessy Lee Wang, FNP
• Keith Warde, D.C.
• Michelle Warfield, PH.D
• Warner Occupational Therapy, Inc. (Warner Pediatric Therapy)
• Douglas D Warner, D.D.S M.S
• Lindsay Caren Wasserman-Hallock, F.N.P.

• Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.