Keith Warde, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

26165 Issued in CA

Practice address

575 2ND St
Encinitas, CA 92024-3505

Phone

(858) 200-7692

Fax

(858) 200-7692

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Southwest Spine and Sport, Inc.

  • Chiropractor
  • Cape Coral, FL
  • NPI 1316153661
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1700911005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "92075",
            "telephone_number": "858-200-7692",
            "fax_number": "858-200-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243505",
            "telephone_number": "858-200-7692",
            "fax_number": "858-200-7692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25411 CABOT RD",
            "address_2": "STE 116",
            "address_purpose": "LOCATION",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535517",
            "country_code": "US",
            "telephone_number": "530-568-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDE",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "26165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Walsh, PHARM.D.
• Juliana Marie Wambach, BS
• Ashley Wang
• Jenessy Lee Wang, FNP
• Warde Sports Chiropractic and Laser PC
• Michelle Warfield, PH.D
• Warner Occupational Therapy, Inc.
• Douglas D Warner, D.D.S M.S
• Lindsay Caren Wasserman-Hallock, F.N.P.
• Connor Wasson

• Sports Physician Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.