Organization Active NPI

Welborn Chiropractic Corporation

  • Chiropractor
  • Granite Bay, CA
National Provider Identifier
1295206928
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELBORN CHIROPRACTIC CORPORATION
Practice address
8700 Auburn Folsom Rd Ste 300
Granite Bay, CA 95746-8501
Phone
(916) 872-1120
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Dr. Katharina Christine Welborn, DCNPI 1174507701
Title
Owner
Phone
(916) 872-1120

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 Primary

Addresses

Primary practice location

8700 Auburn Folsom Rd Ste 300
Granite Bay, CA 95746-8501

Mailing address

8700 Auburn Folsom Rd Ste 300
Granite Bay, CA 95746-8501
Phone (916) 872-1120

Other identifiers 1

IdentifierTypeStateIssuer
1174507701OtherCAIRS

Other names 1

  • The Healthy Spine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190904002455 CA Part B Supplier - Clinic/Group Practice 3678802428 Receives reassigned benefits from 1 practitioner
Practice locations: Granite Bay, CA

National Provider Directory

National Provider Directory

Locations

8605 Auburn Folsom Rd
Granite Bay, CA 95746
Phone (916) 587-2112

8700 Auburn Folsom Rd
Ste 400
Granite Bay, CA 95746
Phone (916) 251-9034

Practitioners & affiliated clinicians

Practitioners 2

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": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1295206928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 AUBURN FOLSOM RD STE 300",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957468501",
            "telephone_number": "916-872-1120",
            "fax_number": "916-872-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 AUBURN FOLSOM RD STE 300",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957468501",
            "telephone_number": "916-872-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELBORN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "KATHARINA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-872-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "1174507701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthy Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Healthy Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.