Organization Active NPI

Awender Chiropractic Inc

  • Occupational Health Chiropractor
  • Redwood City, CA
National Provider Identifier
1770063117
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC20907 Issued in CA
Legal business name
AWENDER CHIROPRACTIC INC
Practice address
2342 El Camino Real Ste 100
Redwood City, CA 94063-2874
Phone
(650) 366-1273
Fax
(650) 299-8276
NPI assigned
Aug 15, 2018
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Mrs. Donna Awender
Title
Office Manager
Phone
(650) 366-1273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X DC20907 CA Primary

Addresses

Primary practice location

2342 El Camino Real Ste 100
Redwood City, CA 94063-2874

Mailing address

2342 El Camino Real Ste 100
Redwood City, CA 94063-2874
Phone (650) 366-1273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181206002964 CA Part B Supplier - Clinic/Group Practice 0244583490 Receives reassigned benefits from 1 practitioner
Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory

Locations

2342 El Camino Real
Ste 100
Redwood City, CA 94063
Phone (650) 366-1273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1770063117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 EL CAMINO REAL STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632874",
            "telephone_number": "650-366-1273",
            "fax_number": "650-299-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 EL CAMINO REAL STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632874",
            "telephone_number": "650-366-1273",
            "fax_number": "650-299-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWENDER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "AWENDER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-366-1273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC20907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.