Organization Active NPI

Sovetky Chiropractic Inc.

  • Chiropractor
  • Granada Hills, CA
National Provider Identifier
1831427095
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20801 Issued in CA
Legal business name
SOVETKY CHIROPRACTIC INC.
Practice address
11020 Balboa Blvd
Granada Hills, CA 91344-5007
Phone
(818) 360-1967
Fax
(818) 360-6206
NPI assigned
Nov 30, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Daniel Louis Sovetky, D.C.NPI 1699980888
Title
C.E.O., C.F.O.
Phone
(818) 360-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC20801 CA Primary

Addresses

Primary practice location

11020 Balboa Blvd
Granada Hills, CA 91344-5007

Mailing address

11020 Balboa Blvd
Granada Hills, CA 91344-5007
Phone (818) 360-1967

Other identifiers 1

IdentifierTypeStateIssuer
D620801OtherCAMEDICARE I D UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

11020 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 360-1967

Practitioners & affiliated clinicians

Practitioners 1

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": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1831427095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445007",
            "telephone_number": "818-360-1967",
            "fax_number": "818-360-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445007",
            "telephone_number": "818-360-1967",
            "fax_number": "818-360-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVETKY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "SOVETKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "C.E.O., C.F.O.",
        "authorized_official_telephone_number": "818-360-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE I D UNSPECIFIED",
            "identifier": "D620801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.