Individual provider Active NPI

Scott Svendsen, D.C.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1356574420
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 22265 Issued in CA
Practice address
3531 Stevens Creek Blvd.
San Jose, CA 95117
Phone
(408) 241-1777
Fax
(408) 440-2821
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 22265 CA Primary

Addresses

Primary practice location

3531 Stevens Creek Blvd.
San Jose, CA 95117

Mailing address

446 Lyoncross Way
San Jose, CA 95123-3437
Phone (408) 835-9403

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
DC 22265CAMDChiropractor
22265CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1356574420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 LYONCROSS WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233437",
            "telephone_number": "408-835-9403",
            "fax_number": "408-440-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 STEVENS CREEK BLVD.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95117",
            "telephone_number": "408-241-1777",
            "fax_number": "408-440-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENDSEN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 22265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.