John C Falkenroth, DC
Individual provider Active NPI Chiropractor · Soquel, CA
NPI 1992800833 · NPPES record last updated Jan 16, 2015
Key facts
- NPI
- 1992800833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC25861 (CA)
- Practice address
- 2959 Park Ave
Suite F
Soquel, CA 95073-2863 - Phone
- (831) 475-8600
- Fax
- (831) 475-8601
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2959 Park Ave F
Soquel, CA 95073-2863
Phone (851) 475-8600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040304000334 | CA | Practitioner - Chiropractic | 3072400894 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25861 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falkenroth Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
Locations
2959 Park Ave
Ste F
Soquel, CA 95073
Phone (831) 475-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25861 | CA | Yes |
Addresses
Primary practice location
2959 Park Ave
Suite F
Soquel, CA 95073-2863
Mailing address
2959 Park Ave Ste F
Soquel, CA 95073-2863
Phone (831) 475-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC25861 | Other | CA | STATE LICENSE |
| ZZZ64963A | Other | CA | BLUE SHIELD |
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.