Organization Active NPI

Severson S Palm Springs Chiropractic, Inc

  • Chiropractor
  • Palm Springs, CA
National Provider Identifier
1437716446
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEVERSON S PALM SPRINGS CHIROPRACTIC, INC
Practice address
1276 N Palm Canyon Dr Ste 105
Palm Springs, CA 92262-4429
Phone
(760) 880-2625
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
William Bradley Severson, DCNPI 1780711606
Title
President
Phone
(760) 325-4595

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 Primary

Addresses

Primary practice location

1276 N Palm Canyon Dr Ste 105
Palm Springs, CA 92262-4429

Mailing address

1276 N Palm Canyon Dr Ste 105
Palm Springs, CA 92262-4429
Phone (760) 880-2625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190510001052 CA Part B Supplier - Clinic/Group Practice 2062755218 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA

National Provider Directory

National Provider Directory

Locations

1276 N Palm Canyon Dr
Ste 105
Palm Springs, CA 92262
Phone (760) 323-7600

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": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1437716446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR STE 105",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624429",
            "telephone_number": "760-880-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N PALM CANYON DR STE 105",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624429",
            "telephone_number": "760-880-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERSON S PALM SPRINGS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-325-4595",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.