Charles Patrick Small, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34599 Issued in CA

Practice address

1213 N Sepulveda Blvd
Manhattan Beach, CA 90266-5103

Phone

(310) 545-4188

NPI assigned

Nov 20, 2019

Last updated

Jan 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Charles Small Sport and Spine Chiropractic and Physical Medicine

  • Chiropractor
  • Manhattan Beach, CA
  • NPI 1699530436
  Medicare reassignment NPD Authorized official
• Twins Physical Medicine Corp

  • Preferred Provider Organization
  • Garden Grove, CA
  • NPI 1689049785
  NPD
• Twins Wellness

  dba Twins Chiropractic

  • Chiropractor
  • Garden Grove, CA
  • NPI 1982949574
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1528604980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 REDONDO AVE APT 204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908041969",
            "telephone_number": "562-668-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665103",
            "telephone_number": "310-545-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13311 Garden Grove Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928432202",
            "country_code": "US",
            "telephone_number": "714-621-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "officeally.com",
            "affiliation": "N",
            "address_1": "13311 Garden Grove Blvd Ste B",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928432202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.