Individual provider Active NPI

Steven Gentry, D.C.

  • Chiropractor
  • Rancho Santa Margarita, CA
National Provider Identifier
1093802449
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22677 Issued in CA
Practice address
22331 El Paseo
Rancho Santa Margarita, CA 92688-2822
Phone
(949) 888-0404
Fax
(949) 888-0818
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22677 CA Primary

Addresses

Primary practice location

22331 El Paseo
Rancho Santa Margarita, CA 92688-2822

Mailing address

PO Box 80357
Rancho Santa Margarita, CA 92688-0357
Phone (949) 888-0404

Other identifiers 1

IdentifierTypeStateIssuer
ZAT174OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000802 CA Practitioner - Chiropractic 7517048309 Reassigns benefits to 1 organization
Practice locations: Rncho Snta Mrgrita, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30486 Avenida de Las Banderas
Suite D
Rancho Santa Margarita, CA 92688-3948
Phone (949) 888-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22677CAMDChiropractor
22677CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentry Chiropractic Inc Chiropractor CurrentSince Sep 17, 2023 Accepting new patients

Locations

30486 Avenida de las Banderas
Ste D
Rcho Sta Marg, CA 92688
Phone (949) 888-0404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1093802449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80357",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926880357",
            "telephone_number": "949-888-0404",
            "fax_number": "949-888-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22331 EL PASEO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882822",
            "telephone_number": "949-888-0404",
            "fax_number": "949-888-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "STEVEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZAT174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.