Organization Active NPI

Swella Chiropractic, Inc

  • Chiropractor
  • Yucca Valley, CA
National Provider Identifier
1871856070
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16555 Issued in CA
Legal business name
SWELLA CHIROPRACTIC, INC
Practice address
56994 29 Palms Hwy
Ste C
Yucca Valley, CA 92284-2946
Phone
(760) 365-1933
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Eugene James Swella Jr.
Title
President
Phone
(760) 365-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16555 CA Primary

Addresses

Primary practice location

56994 29 Palms Hwy
Ste C
Yucca Valley, CA 92284-2946

Mailing address

56994 29 Palms Hwy
Ste C
Yucca Valley, CA 92284-2946

National Provider Directory

National Provider Directory

Locations

56994 29 Palms Hwy
Ste C
Yucca Valley, CA 92284
Phone (760) 365-1933

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1871856070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56994 29 PALMS HWY",
            "address_2": "STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56994 29 PALMS HWY",
            "address_2": "STE C",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842946",
            "telephone_number": "760-365-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWELLA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "SWELLA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-365-1933",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.