Summit to Shore Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33416 Issued in CA

Legal business name

SUMMIT TO SHORE CHIROPRACTIC

Practice address

2877 Lake Tahoe Blvd Ste B
South Lake Tahoe, CA 96150-7807

Phone

(530) 544-8495

NPI assigned

Nov 11, 2015

Last updated

Nov 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darin Thomas Haworth, D.C., M.S.NPI 1669846374

Title

Chiropractor

Phone

(509) 331-3698

Specialties & licenses 1

Addresses

Locations

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.

• Darin Haworth, DC, MS

  • Chiropractor
  • South Lake Tahoe, CA
  • NPI 1669846374
  NPD (past) Authorized official
• Michael Charles Lipkin, DC

  • Chiropractor
  • So Lake Tahoe, CA
  • NPI 1902989585
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1962875096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 LAKE TAHOE BLVD STE B",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507807",
            "telephone_number": "530-544-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 LAKE TAHOE BLVD STE B",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507807",
            "telephone_number": "530-544-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT TO SHORE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "HAWORTH",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-331-3698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Hugh Stockert, M.A.
• Ellery Ann Stoll, D.D.S
• Kurt Sturgeon
• Robert J. Sullivan
• Summit Pharmacy Solutions, LLC
• Summit to Shore Chiropractic a Haworth Corporation
• Abigail Brianna Sutherlin
• Aimie N Sutton, LPCC
• Cynthia Marie Swalm, CADC-II A3620592
• Elizabeth Mae Swope, D.D.S.

• Chiropractor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.