Organization Active NPI

Borges Chiropractic a PC

  • Chiropractor
  • South Lake Tahoe, CA
National Provider Identifier
1881789055
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17019 Issued in CA
Legal business name
BORGES CHIROPRACTIC A PC
Practice address
2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408
Phone
(530) 544-5800
Fax
(530) 544-5802
NPI assigned
Oct 4, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Karen Borges, DCNPI 1003831546
Title
VP
Phone
(530) 544-5800

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
Chiropractor 111N00000X 17019 CA Primary

Addresses

Primary practice location

2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408

Mailing address

2074 Lake Tahoe Blvd Ste 5
South Lake Tahoe, CA 96150-6408
Phone (530) 544-5800

Other identifiers 1

IdentifierTypeStateIssuer
350025349OtherCARAILROAD PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719001278 CA Part B Supplier - Clinic/Group Practice 0244267441 Receives reassigned benefits from 2 practitioners
Practice locations: South Lake Tahoe, CA

National Provider Directory

National Provider Directory

Locations

2074 Lake Tahoe Blvd
Ste 5
South Lake Tahoe, CA 96150
Phone (530) 544-5800

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1881789055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-544-5800",
            "fax_number": "530-544-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-544-5800",
            "fax_number": "530-544-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORGES CHIROPRACTIC A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BORGES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "530-544-5800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "350025349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.