Healthcare Provider Details

I. General information

NPI: 1134839327
Provider Name (Legal Business Name): DR. CARRIE SILVEIRA, D.C. MESA NATURAL HEALTH CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W TEFFT ST
NIPOMO CA
93444-9187
US

IV. Provider business mailing address

620 W TEFFT ST
NIPOMO CA
93444-9187
US

V. Phone/Fax

Practice location:
  • Phone: 805-931-9966
  • Fax: 888-225-1442
Mailing address:
  • Phone: 805-931-9966
  • Fax: 888-225-1442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CARRIE SILVEIRA
Title or Position: OWNER/CEO
Credential: DC
Phone: 805-234-0798