Individual provider Active NPI

Dirk Starr Hamilton, DC

  • Chiropractor
  • South Lake Tahoe, CA
National Provider Identifier
1689755233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30162 Issued in CA
Practice address
3320 Sandy Way
Suite 1
South Lake Tahoe, CA 96150-8105
Phone
(530) 541-2345
Fax
(530) 542-9500
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30162 CA Primary

Addresses

Primary practice location

3320 Sandy Way
Suite 1
South Lake Tahoe, CA 96150-8105

Mailing address

PO Box 1589
South Lake Tahoe, CA 96156-1589
Phone (530) 541-2345

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

Practice roles

OrganizationSpecialtyStatusNew patients
Root'S Chiropractic Current Accepting new patients
Roots Chiropractic Chiropractor Past Accepting new patients

Locations

3320 Sandy Way
Ste 1
South Lake Tahoe, CA 96150
Phone (530) 541-2345

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689755233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961561589",
            "telephone_number": "530-541-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SANDY WAY",
            "address_2": "SUITE 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508105",
            "telephone_number": "530-541-2345",
            "fax_number": "530-542-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DIRK",
        "middle_name": "STARR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30162",
            "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 Jul 8, 2007; 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.