Organization Active NPI

Long Chiropractic, Inc.

  • Chiropractor
  • El Dorado Hills, CA
National Provider Identifier
1376625491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 22918 Issued in CA
Legal business name
LONG CHIROPRACTIC, INC.
Doing business as
Town Center Family Chiropractic
Practice address
4359 Town Center Blvd Ste 213
El Dorado Hills, CA 95762-7113
Phone
(916) 933-4507
Fax
(916) 933-4521
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven James Long, D.C.NPI 1558457424
Title
Owner/Chiropractor
Phone
(916) 933-4507

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 22918 CA Primary

Addresses

Primary practice location

4359 Town Center Blvd Ste 213
El Dorado Hills, CA 95762-7113

Mailing address

4359 Town Center Blvd Ste 213
El Dorado Hills, CA 95762-7113
Phone (916) 933-4507

Other names 1

  • Town Center Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070102000454 CA Part B Supplier - Clinic/Group Practice 3971503657 Receives reassigned benefits from 1 practitioner
Practice locations: El Dorado Hills, CA

National Provider Directory

National Provider Directory

Locations

4359 Town Center Blvd
Ste 213
El Dorado Hls, CA 95762
Phone (916) 933-4507

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376625491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 TOWN CENTER BLVD STE 213",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627113",
            "telephone_number": "916-933-4507",
            "fax_number": "916-933-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 TOWN CENTER BLVD STE 213",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627113",
            "telephone_number": "916-933-4507",
            "fax_number": "916-933-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "916-933-4507",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 22918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.