Individual provider Active NPI

Cheryl L Locke, D.C.

  • Chiropractor
  • Campbell, CA
National Provider Identifier
1487749248
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA18985 Issued in CA
Practice address
1925 Winchester Blvd
Suite 101
Campbell, CA 95008-1037
Phone
(408) 371-0068
Fax
(408) 871-0733
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA18985 CA Primary

Addresses

Primary practice location

1925 Winchester Blvd
Suite 101
Campbell, CA 95008-1037

Mailing address

1925 Winchester Blvd
Suite 101
Campbell, CA 95008-1037
Phone (408) 371-0068

Other identifiers 1

IdentifierTypeStateIssuer
77-0385249OtherCAFED TAX ID NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA18985CAMDChiropractor
18985CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1487749248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 WINCHESTER BLVD",
            "address_2": "SUITE 101",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081037",
            "telephone_number": "408-371-0068",
            "fax_number": "408-871-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 WINCHESTER BLVD",
            "address_2": "SUITE 101",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081037",
            "telephone_number": "408-371-0068",
            "fax_number": "408-871-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA18985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID NUMB",
            "identifier": "77-0385249",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.