SUMMIT TO SHORE CHIROPRACTIC NPI 1962875096

NPI Information

  • NPI: 1962875096
  • Provider Name: SUMMIT TO SHORE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 2877 LAKE TAHOE BLVD STE B
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 544-8495

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NPI Details

SUMMIT TO SHORE CHIROPRACTIC is a chiropractor in South Lake Tahoe, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SUMMIT TO SHORE CHIROPRACTIC NPI is 1962875096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2877 LAKE TAHOE BLVD STE B
SOUTH LAKE TAHOE, CA
ZIP 96150-807
Phone: (530) 544-8495

The provider's authorized official is Darin Thomas Haworth .
The authorized official title is Chiropractor and has the following contact phone number (509) 331-3698.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 11/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor33416CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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