Organization Active NPI

Tamara & Jeffrey Plotkin

  • Chiropractor
  • Canoga Park, CA
National Provider Identifier
1225188683
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21473 Issued in CA
Legal business name
TAMARA & JEFFREY PLOTKIN
Practice address
8111 Canoga Ave
Canoga Park, CA 91304-4103
Phone
(818) 887-0651
Fax
(818) 887-5620
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. Jeffrey David Plotkin, D.C.NPI 1053339721
Title
Owner
Phone
(818) 887-0651

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21473 CA Primary

Addresses

Primary practice location

8111 Canoga Ave
Canoga Park, CA 91304-4103

Mailing address

8111 Canoga Ave
Canoga Park, CA 91304-4103
Phone (818) 887-0651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000945 CA Part B Supplier - Clinic/Group Practice 4981631850 Receives reassigned benefits from 1 practitioner
Practice locations: Canoga Park, CA

National Provider Directory

National Provider Directory

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1225188683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 CANOGA AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044103",
            "telephone_number": "818-887-0651",
            "fax_number": "818-887-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CANOGA AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044103",
            "telephone_number": "818-887-0651",
            "fax_number": "818-887-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA & JEFFREY PLOTKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-887-0651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.

Verify at the official NPI Registry.