Active NPI
Darin Haworth, DC, MS
- Chiropractor
- South Lake Tahoe, CA
National Provider Identifier
1669846374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33416
- Practice address
- 2877 Lake Tahoe Blvd #E
South Lake Tahoe, CA 96150-7807 - Phone
- (530) 544-8495
- Fax
- (530) 600-3321
- NPI assigned
- Nov 18, 2015
- 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 | 33416 | CA | Primary |
Addresses
Primary practice location
2877 Lake Tahoe Blvd #E
South Lake Tahoe, CA 96150-7807
Mailing address
PO Box 14224
South Lake Tahoe, CA 96151-4224
Phone (509) 331-3698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2264 Lake Tahoe Blvd
Suite 9
South Lake Tahoe, CA 96150-7115
Phone (530) 544-8495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit to Shore Chiropractic a Haworth Corporation | Chiropractor | Current | Accepting new patients |
| Summit to Shore Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
2264 Lake Tahoe Blvd
Ste 9
South Lake Tahoe, CA 96150
Phone (530) 544-8495
2877 Lake Tahoe Blvd
Ste E
South Lake Tahoe, CA 96150
Phone (530) 544-8495
Organizations & group practices 2
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.
-
- Chiropractor
- South Lake Tahoe, CA
- NPI 1558991141
-
- Chiropractor
- South Lake Tahoe, CA
- NPI 1962875096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1669846374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14224",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961514224",
"telephone_number": "509-331-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2877 LAKE TAHOE BLVD #E",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507807",
"telephone_number": "530-544-8495",
"fax_number": "530-600-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWORTH",
"first_name": "DARIN",
"credential": "DC, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-18",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.