Organization Active NPI

Seversons Tahquitz Canyon Chiropractic Inc

  • Pain Clinic/Center
  • Palm Springs, CA
National Provider Identifier
1760636351
Registry record updated Nov 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
DC28533 Issued in CA
Legal business name
SEVERSONS TAHQUITZ CANYON CHIROPRACTIC INC
Practice address
2150 E Tahquitz Canyon Way
#5
Palm Springs, CA 92262-7045
Phone
(760) 325-4595
NPI assigned
Nov 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2008

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

Authorized official

Name
Dr. William Bradley Severson, D.C.
Title
Ceo
Phone
(760) 325-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X DC28533 CA Primary

Addresses

Primary practice location

2150 E Tahquitz Canyon Way
#5
Palm Springs, CA 92262-7045

Mailing address

2150 E Tahquitz Canyon Way
#5
Palm Springs, CA 92262-7045
Phone (760) 325-4595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226188800000",
    "number": "1760636351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "#5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-325-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "#5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-325-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERSONS TAHQUITZ CANYON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2008-11-09",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-325-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "DC28533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2008; 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.