Active NPI
Roots Chiropractic
- Chiropractor
- South Lake Tahoe, CA
National Provider Identifier
1972664712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29850
- Legal business name
- ROOTS CHIROPRACTIC
- Practice address
- 3320 Sandy Way
Suite 1
South Lake Tahoe, CA 96150-8105 - Phone
- (530) 544-7668
- NPI assigned
- Dec 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernadette Gonzales, DC
- Title
- Chiropractor
- Phone
- (530) 544-7668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29850 | CA | Primary |
Addresses
Primary practice location
3320 Sandy Way
Suite 1
South Lake Tahoe, CA 96150-8105
Mailing address
PO Box 1589
South Lake Tahoe, CA 96156-1589
Phone (530) 544-7668
National Provider Directory
National Provider DirectoryLocations
3320 Sandy Way
Ste 1
South Lake Tahoe, CA 96150
Phone (530) 541-2345
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.
-
- Chiropractor
- Temecula, CA
- NPI 1578656310
-
- Chiropractor
- South Lake Tahoe, CA
- NPI 1689755233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972664712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1589",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961561589",
"telephone_number": "530-544-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 SANDY WAY",
"address_2": "SUITE 1",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961508105",
"telephone_number": "530-544-7668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTS CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GONZALES",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "530-544-7668",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29850",
"primary": true
}
],
"identifiers": [],
"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 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.