Organization Active NPI

Watsonville Chiropractic Inc

  • Chiropractor
  • Watsonville, CA
National Provider Identifier
1932309770
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21871 Issued in CA
Legal business name
WATSONVILLE CHIROPRACTIC INC
Practice address
441 Union St
Watsonville, CA 95076-4628
Phone
(831) 728-1030
Fax
(831) 288-0759
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Dr. David William Christie, D.C.NPI 1871715938
Title
Ceo
Phone
(831) 728-1030

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 DC21871 CA Primary

Addresses

Primary practice location

441 Union St
Watsonville, CA 95076-4628

Mailing address

441 Union St
Watsonville, CA 95076-4628
Phone (831) 728-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314001384 CA Part B Supplier - Clinic/Group Practice 4385875301 Receives reassigned benefits from 1 practitioner
Practice locations: Watsonville, CA

National Provider Directory

National Provider Directory

Locations

622 E Alisal St
Salinas, CA 93905
Phone (831) 757-6191

622 E Alisal St
Ste 1
Salinas, CA 93905
Phone (831) 757-6191

441 Union St
Watsonville, CA 95076
Phone (831) 728-1030

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1932309770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 UNION ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764628",
            "telephone_number": "831-728-1030",
            "fax_number": "831-288-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 UNION ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764628",
            "telephone_number": "831-728-1030",
            "fax_number": "831-288-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSONVILLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-728-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.