Dr Cheryl Revkin DC, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11799 Issued in CA

Legal business name

DR CHERYL REVKIN DC, INC.

Practice address

1724 West Silverlake Drive
Los Angeles, CA 90026

Phone

(323) 665-1281

Fax

(323) 665-2739

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Leslee Elizabeth Painter

Title

Office Manager

Phone

(323) 665-1281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Irene Gabriel-Thomas, DC

  • Chiropractor
  • Los Angeles, CA
  • NPI 1992026298
  NPD (past)
• Cheryl R Revkin, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1598739872
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841222486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WEST SILVERLAKE DRIVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "323-665-1281",
            "fax_number": "323-665-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 WEST SILVERLAKE DRIVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "323-665-1281",
            "fax_number": "323-665-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHERYL REVKIN DC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-665-1281"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL TYPE 1",
            "identifier": "1598739872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.