Active NPI
Marjan Kaveh, D.C.
- Chiropractor
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26964
- Practice address
- 95 Montgomery Dr Ste 202
Santa Rosa, CA 95404-3202 - Phone
- (707) 228-8405
- NPI assigned
- Apr 24, 2008
- Last updated
- Dec 6, 2012
- Sex
- Female
- 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 | DC26964 | CA | Primary |
Addresses
Primary practice location
95 Montgomery Dr Ste 202
Santa Rosa, CA 95404-3202
Mailing address
95 Montgomery Dr
Santa Rosa, CA 95404-6630
Phone (707) 228-8405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7035 Beracasa Way
Suite 104
Boca Raton, FL 33433-3454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26964 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Neurology Enhancement Center | Current | Accepting new patients |
Locations
95 Montgomery Dr
Ste 118
Santa Rosa, CA 95404
Phone (707) 228-8405
2900 N Military Trl
Ste 244N
Boca Raton, FL 33431
Phone (561) 367-0078
7035 Beracasa Way
Ste 104
Boca Raton, FL 33433
Phone (561) 361-4888
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1740455492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046630",
"telephone_number": "707-228-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MONTGOMERY DR STE 202",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043202",
"telephone_number": "707-228-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVEH",
"first_name": "MARJAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.