Active NPI
Cheryl R Revkin, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1598739872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC11799
- Practice address
- 1724 W. Silverlake Drive
Los Angeles, CA 90026 - Phone
- (323) 665-1281
- Fax
- (323) 665-2739
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC11799 | CA | Primary |
Addresses
Primary practice location
1724 W. Silverlake Drive
Los Angeles, CA 90026
Mailing address
1724 W Silver Lake Dr
Los Angeles, CA 90026-1232
Phone (323) 665-1281
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC11799 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Cheryl Revkin DC, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Los Angeles, CA
- NPI 1841222486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1598739872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 W SILVER LAKE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261232",
"telephone_number": "323-665-1281",
"fax_number": "323-665-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 W. SILVERLAKE DRIVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "323-665-1281",
"fax_number": "323-665-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVKIN",
"first_name": "CHERYL",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC11799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.