Organization Active NPI

Serpa Chiropractic Inc.

Doing business as Advnced Chiropractic of Folsom

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1417172198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
COR2378 Issued in CA
Legal business name
SERPA CHIROPRACTIC INC.
Doing business as
Advnced Chiropractic of Folsom
Practice address
324 S Lexington Dr
Folsom, CA 95630-6801
Phone
(916) 984-1939
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. David J. Serpa, D.C.NPI 1922121532
Title
President
Phone
(916) 984-1939

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 COR2378 CA Primary

Addresses

Primary practice location

324 S Lexington Dr
Folsom, CA 95630-6801

Mailing address

324 S Lexington Dr
Folsom, CA 95630-6801
Phone (916) 984-1939

Other identifiers 1

IdentifierTypeStateIssuer
COR 2378OtherCACHIRO. CORPORATION NUMBER

Other names 1

  • Advnced Chiropractic of Folsom Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120125000886 CA Part B Supplier - Clinic/Group Practice 0446425805 Receives reassigned benefits from 2 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

324 S Lexington Dr
Folsom, CA 95630
Phone (916) 932-6549

513 Natoma St
Folsom, CA 95630
Phone (916) 984-1939

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417172198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S LEXINGTON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306801",
            "telephone_number": "916-984-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S LEXINGTON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306801",
            "telephone_number": "916-984-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERPA CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERPA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-984-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "COR2378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO. CORPORATION NUMBER",
            "identifier": "COR 2378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advnced Chiropractic of Folsom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, 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.