Individual provider Active NPI

Steven Wayne Finnell, D.C.

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1306986948
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23517 Issued in CA
Practice address
193 Blue Ravine Rd
Suite #245
Folsom, CA 95630-4756
Phone
(916) 989-1014
Fax
(916) 989-1461
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23517 CA Primary

Addresses

Primary practice location

193 Blue Ravine Rd
Suite #245
Folsom, CA 95630-4756

Mailing address

193 Blue Ravine Rd
Suite #245
Folsom, CA 95630-4756
Phone (916) 989-1014

Other identifiers 2

IdentifierTypeStateIssuer
23517OtherCACA LICENSE NUMBER
ZZZ55590ZOtherCABLUE SHIELD GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000523 CA Practitioner - Chiropractic 2567542939 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Folsom, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

193 Blue Ravine Rd
Suite 245
Folsom, CA 95630-4767
Phone (916) 989-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23517CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Finnell Chiropractic, Inc. Chiropractor CurrentSince Apr 29, 2020 Accepting new patients
Finnell Chiropractic Group Chiropractor PastSince Jan 1, 1990 Accepting new patients
Shigemoto Chiropractic, Inc. Chiropractor PastSince Jun 8, 2015 Accepting new patients

Locations

193 Blue Ravine Rd
Ste 245
Folsom, CA 95630
Phone (916) 983-2359

149 Iron Point Rd
Folsom, CA 95630
Phone (916) 337-5564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1306986948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 BLUE RAVINE RD",
            "address_2": "SUITE #245",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304756",
            "telephone_number": "916-989-1014",
            "fax_number": "916-989-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 BLUE RAVINE RD",
            "address_2": "SUITE #245",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304756",
            "telephone_number": "916-989-1014",
            "fax_number": "916-989-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNELL",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE NUMBER",
            "identifier": "23517",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ55590Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.