Maccarry Davis Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32423 Issued in CA

Legal business name

MACCARRY DAVIS CHIROPRACTIC CORP

Doing business as

MOUNTAIN MEADOW CHIROPRACTIC

Practice address

591 Tahoe Keys Blvd Ste D3
South Lake Tahoe, CA 96150-3359

Phone

(530) 577-4757

Fax

(530) 600-2187

NPI assigned

Jan 19, 2015

Organization subpart

No

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

Authorized official

Name

Erin-Elizabeth Maccarry Davis, DCNPI 1922359520

Title

Owner/Provider

Phone

(530) 577-4757

Specialties & licenses 1

Addresses

Other names 1

• MOUNTAIN MEADOW CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Erin-Elizabeth Maccarry Davis, DC

  • Chiropractor
  • South Lake Tahoe, CA
  • NPI 1922359520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1457740169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 TAHOE KEYS BLVD STE D3",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503359",
            "telephone_number": "530-577-4757",
            "fax_number": "530-600-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACCARRY DAVIS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERIN-ELIZABETH",
        "authorized_official_middle_name": "MACCARRY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "530-577-4757",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN MEADOW CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOUNTAIN MEADOW CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Michael Lynch, PRSS
• Michael John Lyons, MPT, ATC
• Julie Anne Lytle
• Karen Lee Maack, MFC
• Juliana Elizabeth Macan, DPT
• Deanna Marie Maddox Brothers, DDS
• Jean Peters Makris, MD
• Ashaka Mali
• Lenette Arvilla Mapes, RN
• Danielle Blatchley Margosian, ACADC

• Chiropractor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.