Individual provider Active NPI

Andrew Steven Lind, D.C.

  • Chiropractor
  • Palm Desert, CA
National Provider Identifier
1609950427
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18510 Issued in CA
Practice address
36945 Cook St Ste 103
Palm Desert, CA 92211-6077
Phone
(760) 565-1158
Fax
(760) 565-1168
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 18510 CA Primary

Addresses

Primary practice location

36945 Cook St Ste 103
Palm Desert, CA 92211-6077

Mailing address

36945 Cook St Ste 103
Palm Desert, CA 92211-6077
Phone (760) 565-1158

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ05310ZOtherCABLUE SHIELD NUMBER
330937637OtherCATAX IDENTIFICATION NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000380 CA Practitioner - Chiropractic 3971671678 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36945 Cook St
Suite 103
Palm Desert, CA 92211-6077
Phone (760) 565-1158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1609950427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36945 COOK ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116077",
            "telephone_number": "760-565-1158",
            "fax_number": "760-565-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36945 COOK ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116077",
            "telephone_number": "760-565-1158",
            "fax_number": "760-565-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "ZZZ05310Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "330937637",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.