Coastal Chiropractic Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19611 Issued in CA

Legal business name

COASTAL CHIROPRACTIC WELLNESS CENTER

Practice address

2245 S El Camino Real
#C
Oceanside, CA 92054-6394

Phone

(760) 754-2256

Fax

(760) 754-2256

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Scott K Smith, DCNPI 1346386406

Title

Owner

Phone

(760) 754-2225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Scott K Smith, DC

  • Chiropractor
  • Oceanside, CA
  • NPI 1346386406
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386780450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 S EL CAMINO REAL",
            "address_2": "#C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546394",
            "telephone_number": "760-754-2256",
            "fax_number": "760-754-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S EL CAMINO REAL",
            "address_2": "#C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546394",
            "telephone_number": "760-754-2256",
            "fax_number": "760-754-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-754-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Drew Clonts
• Tobiah M Clukey, FNP-C
• Coast Compounding Pharmacy LLC
• Coast Phlebotomy Services LLC
• Coast Urgent Care and Family Practice
• Coastal Healing and Counseling Services
• Coastal Hospitalist Medical Associates, Inc
• Coastal Mobile Therapy a Professional Physical Therapy Corp
• Coastal Orthopedics & Sports Medical Group, Inc
• Coastal Surgeons

• Chiropractor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Chiropractor in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.