Organization Active NPI

Carol E Shwery D C a Chiropractic Corp

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1821341918
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC142380 Issued in CA
Legal business name
CAROL E SHWERY D C A CHIROPRACTIC CORP
Practice address
3811 Portola Dr
Santa Cruz, CA 95062-5232
Phone
(831) 476-6906
Fax
(831) 476-6994
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. Carol Shwery, DCNPI 1508938242
Title
Owner
Phone
(831) 476-6906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC142380 CA Primary

Addresses

Primary practice location

3811 Portola Dr
Santa Cruz, CA 95062-5232

Mailing address

3811 Portola Dr
Santa Cruz, CA 95062-5232
Phone (831) 476-6906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121109000379 CA Part B Supplier - Clinic/Group Practice 0941451447 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory

Locations

603 Capitola Ave
Capitola, CA 95010
Phone (408) 476-5403

3811 Portola Dr
Santa Cruz, CA 95062
Phone (831) 475-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1821341918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 PORTOLA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625232",
            "telephone_number": "831-476-6906",
            "fax_number": "831-476-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 PORTOLA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625232",
            "telephone_number": "831-476-6906",
            "fax_number": "831-476-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL E SHWERY D C A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "SHWERY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-476-6906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC142380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.