Organization Active NPI

Landry Chiropractic PC

  • Chiropractor
  • Riverside, CA
National Provider Identifier
1104632033
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LANDRY CHIROPRACTIC PC
Practice address
3576 Arlington Ave Ste 211
Riverside, CA 92506-3986
Phone
(951) 405-8868
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Dr. David Martin Landry II, DCNPI 1790918233
Title
Owner
Phone
(951) 505-5243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3576 Arlington Ave Ste 211
Riverside, CA 92506-3986

Mailing address

3576 Arlington Ave Ste 211
Riverside, CA 92506-3986
Phone (951) 405-8868

Other identifiers 1

IdentifierTypeStateIssuer
1962454249OtherCHIROPRACTOR

Other names 1

  • Optimal Performance Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3576 Arlington Ave
Ste 211
Riverside, CA 92506
Phone (951) 405-8868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1104632033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 211",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063986",
            "telephone_number": "951-405-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 211",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063986",
            "telephone_number": "951-405-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-505-5243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1962454249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.