Individual provider Active NPI

Carolyn Beth Finnegan, DC

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1669485264
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29982 Issued in CA
Practice address
600 Grand Ave
Ste 301
Oakland, CA 94610-3548
Phone
(510) 922-1579
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03485 MD
Chiropractor 111N00000X 29982 CA Primary

Addresses

Primary practice location

600 Grand Ave
Ste 301
Oakland, CA 94610-3548

Mailing address

600 Grand Ave
Ste 301
Oakland, CA 94610-3548
Phone (510) 922-1579

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
03485MDMDChiropractor
29982CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Chiropractic, Inc Chiropractor CurrentSince Apr 11, 2015 Accepting new patients

Locations

6239 College Ave
Ste 201
Oakland, CA 94618
Phone (510) 654-2207

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1669485264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRAND AVE",
            "address_2": "STE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103548",
            "telephone_number": "510-922-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRAND AVE",
            "address_2": "STE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103548",
            "telephone_number": "510-922-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "CAROLYN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03485",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.