Charleston Clarke, DC
Individual provider Active NPI Chiropractor · Truckee, CA
NPI 1669320727 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1669320727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC37317 (CA)
- Practice address
- 10021 Martis Valley Rd Ste a
Truckee, CA 96161-2205 - Phone
- (650) 450-6975
- NPI assigned
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC37317 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC37317 | CA | Yes |
Addresses
Primary practice location
10021 Martis Valley Rd Ste a
Truckee, CA 96161-2205
Mailing address
10021 Martis Valley Rd Ste a
Truckee, CA 96161-2205
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.