Organization Active NPI

Falkenroth Chiropractic Inc

Doing business as Five Star Chiropractic Center

  • Chiropractor
  • Soquel, CA
National Provider Identifier
1316008634
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25861 Issued in CA
Legal business name
FALKENROTH CHIROPRACTIC INC
Doing business as
Five Star Chiropractic Center
Practice address
2959 Park Ave Ste F
Soquel, CA 95073-2863
Phone
(831) 475-8600
Fax
(831) 475-8601
NPI assigned
Dec 12, 2006
Last updated
Jan 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
John Falkenroth, DCNPI 1992800833
Title
President
Phone
(831) 475-8600

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
Chiropractor 111N00000X DC25861 CA Primary

Addresses

Primary practice location

2959 Park Ave Ste F
Soquel, CA 95073-2863

Mailing address

11022 Winners Cir
Suite 107
Los Alamitos, CA 90720-2883
Phone (562) 430-9479

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ64963ZOtherCABLUE SHIELD ID#
DC25861OtherCASTATE LICENSE NUMBER
1992800833OtherCAINDIVIDUAL NPI NUMBER

Other names 1

  • Five Star Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000505 CA Part B Supplier - Clinic/Group Practice 6406919208 Receives reassigned benefits from 1 practitioner
Practice locations: Soquel, CA

National Provider Directory

National Provider Directory

Locations

11022 Winners Cir
Ste 107
Los Alamitos, CA 90720

2959 Park Ave
Ste F
Soquel, CA 95073
Phone (831) 475-8600

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1316008634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 WINNERS CIR",
            "address_2": "SUITE 107",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202883",
            "telephone_number": "562-430-9479",
            "fax_number": "562-430-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 PARK AVE STE F",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732863",
            "telephone_number": "831-475-8600",
            "fax_number": "831-475-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALKENROTH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "FALKENROTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-475-8600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID#",
            "identifier": "ZZZ64963Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DC25861",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1992800833",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.