Individual provider Active NPI

Darin Haworth, DC, MS

  • Chiropractor
  • South Lake Tahoe, CA
National Provider Identifier
1669846374
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33416 Issued in CA
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

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20151229001131 CA Practitioner - Chiropractic 4486955945 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Summit to Shore Chiropractic a Haworth Corporation Chiropractor CurrentSince May 19, 2020 Accepting new patients
Summit to Shore Chiropractic Chiropractor PastSince Nov 18, 2015 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.

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.

Verify at the official NPI Registry.