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DR. SCOTT DAVID NISSENBAUM DC
NPI 1851694541
Chiropractor in San Carlos, CA

Active since December 17, 2010
1100 LAUREL ST STE D, SAN CARLOS, CA 94070(415) 302-9007(650) 666-6747 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2021, May 19, 2020, Oct 9, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Scott David Nissenbaum Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT DAVID NISSENBAUM DC (NPI 1851694541) is an individual chiropractor in San Carlos, California, licensed in California (DC-31093) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1851694541
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SCOTT DAVID NISSENBAUMCredential: DC
Location Address1100 LAUREL ST STE DSan Carlos, CA 94070-5000
Mailing Address1100 Laurel St Ste DSan Carlos, CA 94070-5000 · (415) 302-9007 · Fax (650) 666-6747
Phone(415) 302-9007
Fax(650) 666-6747
Sole ProprietorYes
Enumeration DateDecember 17, 2010
Last NPPES UpdateApril 20, 20214 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1851694541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC-31093
Definition

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.

1100 LAUREL ST STE D, San Carlos, CA 94070
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT NISSENBAUM CHIROPRACTIC LLC
Chiropractor (Rehabilitation)
1100 LAUREL ST STE D
SAN CARLOS, CA 94070
San Mateo County (650) 226-8348
DR. TIMOTHY YOUNGKYUN WOO DC
Chiropractor
1100 LAUREL ST STE D
SAN CARLOS, CA 94070
San Mateo County (650) 226-8348
PERFECTLY ALIGNED WELLNESS, A NISSENBAUM CHIROPRACTIC PC
Chiropractor
1100 LAUREL ST STE D
SAN CARLOS, CA 94070
San Mateo County (650) 226-8348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Nissenbaum's NPI number?

The NPI number for Scott Nissenbaum is 1851694541. It was assigned to this individual provider in the NPPES registry on December 17, 2010.

Where is Scott Nissenbaum located?

Scott Nissenbaum practices at 1100 Laurel St Ste D, San Carlos, CA 94070. The listed phone number is (415) 302-9007.

What is Scott Nissenbaum's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Scott Nissenbaum was last updated on April 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.