Organization Active NPI

Swift Chiropractic Inc

  • Chiropractor
  • San Clemente, CA
National Provider Identifier
1811207178
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27543 Issued in CA
Legal business name
SWIFT CHIROPRACTIC INC
Practice address
3551 Camino Mira Costa
Suite a
San Clemente, CA 92672-3508
Phone
(949) 751-4000
Fax
(949) 751-4004
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Tim Swift, DC
Title
Owner/Doctor
Phone
(949) 751-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27543 CA Primary

Addresses

Primary practice location

3551 Camino Mira Costa
Suite a
San Clemente, CA 92672-3508

Mailing address

3551 Camino Mira Costa
Suite a
San Clemente, CA 92672-3508
Phone (949) 751-4000

Other names 1

  • SWIFT HEALTH CHIROPRACTIC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000280 CA Part B Supplier - Clinic/Group Practice 7517144074 Receives reassigned benefits from 1 practitioner
Practice locations: San Clemente, CA

National Provider Directory

National Provider Directory
Tax ID family
Swift Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3551 Camino Mira Costa
Ste A
San Clemente, CA 92672
Phone (949) 751-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1811207178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723508",
            "telephone_number": "949-751-4000",
            "fax_number": "949-751-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CAMINO MIRA COSTA",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723508",
            "telephone_number": "949-751-4000",
            "fax_number": "949-751-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "949-751-4000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWIFT HEALTH CHIROPRACTIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.