Active NPI
Christopher K Scruggs, D.C.
- Chiropractor
- Toluca Lake, CA
National Provider Identifier
1619058443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25034
- Practice address
- 4208 Lankershim Blvd
Toluca Lake, CA 91602-2855 - Phone
- (818) 985-7723
- Fax
- (818) 985-0954
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- 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 | DC25034 | CA | Primary |
Addresses
Primary practice location
4208 Lankershim Blvd
Toluca Lake, CA 91602-2855
Mailing address
4208 Lankershim Blvd
Toluca Lake, CA 91602-2855
Phone (818) 985-7723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130820000493 | CA | Practitioner - Chiropractic | 6608018759 | Practice locations: Toluca Lake, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25034 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619058443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 LANKERSHIM BLVD",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022855",
"telephone_number": "818-985-7723",
"fax_number": "818-985-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 LANKERSHIM BLVD",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022855",
"telephone_number": "818-985-7723",
"fax_number": "818-985-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "CHRISTOPHER",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toluca Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.