Individual provider Active NPI

Whitaker Voss, DC

  • Chiropractor
  • Alameda, CA
National Provider Identifier
1447825575
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36073 Issued in CA
Practice address
2258 Santa Clara Ave Ste 5
Alameda, CA 94501-4473
Phone
(510) 671-1716
Fax
(510) 671-6216
NPI assigned
May 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36073 CA Primary

Addresses

Primary practice location

2258 Santa Clara Ave Ste 5
Alameda, CA 94501-4473

Mailing address

2201 Shoreline Dr Unit 1508
Alameda, CA 94501-7337
Phone (510) 671-1716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220001989 CA Practitioner - Chiropractic 8022409473 Practice locations: Alameda, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36073CAMDClinical Psychologist
DC36073CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1447825575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SHORELINE DR UNIT 1508",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017337",
            "telephone_number": "510-671-1716",
            "fax_number": "510-671-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 SANTA CLARA AVE STE 5",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014473",
            "telephone_number": "510-671-1716",
            "fax_number": "510-671-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "WHITAKER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.