Individual provider Active NPI

Elizabeth A. Swida-Skillen, DC

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1356448229
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13886 Issued in CA
Practice address
4550 Coffee Rd
Suite H
Bakersfield, CA 93308-5023
Phone
(661) 587-0700
Fax
(661) 587-9131
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13886 CA Primary

Addresses

Primary practice location

4550 Coffee Rd
Suite H
Bakersfield, CA 93308-5023

Mailing address

4550 Coffee Rd
Suite H
Bakersfield, CA 93308-5023
Phone (661) 587-0700

Other identifiers 1

IdentifierTypeStateIssuer
DC0138860OtherCABLUE SHIELD NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC13886CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Chiropractic Clinic, Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1356448229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 COFFEE RD",
            "address_2": "SUITE H",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085023",
            "telephone_number": "661-587-0700",
            "fax_number": "661-587-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COFFEE RD",
            "address_2": "SUITE H",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085023",
            "telephone_number": "661-587-0700",
            "fax_number": "661-587-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDA-SKILLEN",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "DC0138860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.