Active NPI
Harry E. Brown III, DC
- Chiropractor
- Modesto, CA
National Provider Identifier
1104969013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC170340
- Practice address
- 162 E Orangeburg Ave
Modesto, CA 95350-5335 - Phone
- (209) 522-7222
- Fax
- (209) 522-0806
- NPI assigned
- Feb 14, 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 | DC170340 | CA | Primary |
Addresses
Primary practice location
162 E Orangeburg Ave
Modesto, CA 95350-5335
Mailing address
162 E Orangeburg Ave
Modesto, CA 95350-5335
Phone (209) 522-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100315000138 | CA | Practitioner - Chiropractic | 2163557323 | Practice locations: Modesto, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC170340 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1104969013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 E ORANGEBURG AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505335",
"telephone_number": "209-522-7222",
"fax_number": "209-522-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E ORANGEBURG AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505335",
"telephone_number": "209-522-7222",
"fax_number": "209-522-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "HARRY",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC170340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.