Active NPI
Robert Patrick Chance, D.C.
- Chiropractor
- Lafayette, CA
National Provider Identifier
1013101302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30670
- Practice address
- 3249 Mt Diablo CT Ste 102
Lafayette, CA 94549-4039 - Phone
- (925) 952-4222
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30670 | CA | Primary |
Addresses
Primary practice location
3249 Mt Diablo CT Ste 102
Lafayette, CA 94549-4039
Mailing address
3249 Mt Diablo CT Ste 102
Lafayette, CA 94549-4039
Phone (925) 952-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071108000251 | CA | Practitioner - Chiropractic | 4880782887 | Practice locations: Lafayette, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3249 Mt Diablo CT
Suite 102
Lafayette, CA 94549-4039
Phone (925) 285-8403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30670 | CA | MD | Chiropractor |
| 30670 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1013101302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 MT DIABLO CT STE 102",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494039",
"telephone_number": "925-952-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 MT DIABLO CT STE 102",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494039",
"telephone_number": "925-952-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCE",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.