Active NPI
Susan Ann Birch, DC
- Chiropractor
- Incline Village, NV
National Provider Identifier
1306142880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17018
- Practice address
- 216 Lark CT
Incline Village, NV 89451-9745 - Phone
- (530) 546-2225
- NPI assigned
- Feb 1, 2011
- Last updated
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 17018 | CA | Primary |
| Chiropractor | 111N00000X | B 314 | NV |
Addresses
Primary practice location
216 Lark CT
Incline Village, NV 89451-9745
Mailing address
PO Box 485
Tahoe Vista, CA 96148-0485
Phone (530) 320-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B 314 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1306142880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 485",
"city": "TAHOE VISTA",
"state": "CA",
"postal_code": "961480485",
"telephone_number": "530-320-2225",
"fax_number": "831-536-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 LARK CT",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "894519745",
"telephone_number": "530-546-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "SUSAN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17018",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B 314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Incline Village, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.