Organization Active NPI

Work Comp Only

  • Orthopedic Chiropractor
  • Redding, CA
National Provider Identifier
1245388990
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
10695 Issued in CA
Legal business name
WORK COMP ONLY
Practice address
3051 Victor Ave
Redding, CA 96002-1450
Phone
(530) 222-9675
Fax
(530) 223-6316
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ms. Cynthia Lynn Menez
Title
Office Manager
Phone
(530) 222-9675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 10695 CA Primary

Addresses

Primary practice location

3051 Victor Ave
Redding, CA 96002-1450

Mailing address

PO Box 492725
Redding, CA 96049-2725
Phone (530) 222-9675

Other names 1

  • Enterprise Back Care Former legal business name

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1245388990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492725",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492725",
            "telephone_number": "530-222-9675",
            "fax_number": "530-223-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021450",
            "telephone_number": "530-222-9675",
            "fax_number": "530-223-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK COMP ONLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MENEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-222-9675",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "10695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Back Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.