Organization Active NPI

Smith Wolff Chiropractic Inc

Doing business as Carmel Valley Chiropractic Clinic

  • Chiropractor
  • Carmel Valley, CA
National Provider Identifier
1245327444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13875 Issued in CA
Legal business name
SMITH WOLFF CHIROPRACTIC INC
Doing business as
Carmel Valley Chiropractic Clinic
Practice address
6 Delfino Place
Carmel Valley, CA 93924
Phone
(831) 659-5180
Fax
(831) 659-7569
NPI assigned
Oct 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wilson E Smith, DC
Title
President
Phone
(831) 659-5780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15739 CA
Chiropractor 111N00000X 13875 CA Primary

Addresses

Primary practice location

6 Delfino Place
Carmel Valley, CA 93924

Mailing address

6 Delfino Place
Carmel Valley, CA 93924
Phone (831) 659-5180

Other names 1

  • Carmel Valley Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120216000237 CA Part B Supplier - Clinic/Group Practice 0648438986 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel Valley, CA

National Provider Directory

National Provider Directory

Locations

6 Del Fino Pl
Carmel Valley, CA 93924
Phone (831) 659-5180

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245327444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DELFINO PLACE",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "93924",
            "telephone_number": "831-659-5180",
            "fax_number": "831-659-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DELFINO PLACE",
            "city": "CARMEL VALLEY",
            "state": "CA",
            "postal_code": "93924",
            "telephone_number": "831-659-5180",
            "fax_number": "831-659-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH WOLFF CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-659-5780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15739",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Valley Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.