Organization Active NPI

Marianne Nielsen Chiropractic Neurology Inc.

  • Neurology Chiropractor
  • Los Gatos, CA
National Provider Identifier
1427535525
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CA22103 Issued in CA
Legal business name
MARIANNE NIELSEN CHIROPRACTIC NEUROLOGY INC.
Practice address
321 Los Gatos Saratoga Rd
Los Gatos, CA 95030-5310
Phone
(408) 395-6995
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Marianne Nielsen, DCNPI 1437350949
Title
President
Phone
(408) 395-6995

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
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CA22103 CA Primary

Addresses

Primary practice location

321 Los Gatos Saratoga Rd
Los Gatos, CA 95030-5310

Mailing address

321 Los Gatos Saratoga Rd
Los Gatos, CA 95030-5310
Phone (408) 395-6995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181102000896 CA Part B Supplier - Clinic/Group Practice 2668725904 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

718 University Ave
Ste 110
Los Gatos, CA 95032
Phone (408) 395-6995

Practitioners & affiliated clinicians

Practitioners 4

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": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1427535525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LOS GATOS SARATOGA RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305310",
            "telephone_number": "408-395-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 LOS GATOS SARATOGA RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305310",
            "telephone_number": "408-395-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE NIELSEN CHIROPRACTIC NEUROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-395-6995",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "CA22103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.