Individual provider Active NPI

Ellen Margaret Chevillet, DC

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1740032341
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36738 Issued in CA
Practice address
2200 Monroe St Apt 107
Santa Clara, CA 95050-3405
Phone
(260) 437-9065
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36738 CA Primary

Addresses

Primary practice location

2200 Monroe St Apt 107
Santa Clara, CA 95050-3405

Mailing address

2200 Monroe St Apt 107
Santa Clara, CA 95050-3405
Phone (260) 437-9065

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC36738CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1740032341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MONROE ST APT 107",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503405",
            "telephone_number": "260-437-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MONROE ST APT 107",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503405",
            "telephone_number": "260-437-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVILLET",
        "first_name": "ELLEN",
        "middle_name": "MARGARET",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.