Individual provider Active NPI

John C Falkenroth, DC

  • Chiropractor
  • Soquel, CA
National Provider Identifier
1992800833
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25861 Issued in 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
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25861 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000334 CA Practitioner - Chiropractic 3072400894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25861CAMDChiropractor
25861CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Falkenroth Chiropractic Inc Chiropractor CurrentSince Mar 1, 2001 Accepting new patients

Locations

2959 Park Ave
Ste F
Soquel, CA 95073
Phone (831) 475-8600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1992800833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 PARK AVE STE F",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732863",
            "telephone_number": "831-475-8600",
            "fax_number": "831-475-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 PARK AVE",
            "address_2": "SUITE F",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732863",
            "telephone_number": "831-475-8600",
            "fax_number": "831-475-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKENROTH",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.