Watson Chiropractic Inc.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

21161 Issued in CA

Legal business name

WATSON CHIROPRACTIC INC.

Practice address

12304 Aneta St
Culver City, CA 90230-5916

Phone

(310) 305-9697

Fax

(310) 305-9706

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Ann Watson, DC, CCN, DACBN, QME

Title

Ceo

Phone

(310) 305-9697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649206970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 ANETA ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305916",
            "telephone_number": "310-305-9697",
            "fax_number": "310-305-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 ANETA ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305916",
            "telephone_number": "310-305-9697",
            "fax_number": "310-305-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-305-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCN, DACBN, QME"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "21161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon L Washington
• Te'Nisha Jeanae Washington, DPT
• Brian Waters, LCSW
• Christopher Darius Waters, OT/R
• Cherie Monae Watkins
• David Edward Watson
• Ebony Keishawn Watson, LVN
• Mildred A Watson
• Shirley Ann Watson, DC
• Regina Wead, MFT

• Nutrition Chiropractor in Culver City, CA
• Providers in Culver City, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.