Individual provider Active NPI

Chris Cake, DC

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1124164033
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28302 Issued in CA
Practice address
2020 Standiford Ave # 2
Modesto, CA 95350-6529
Phone
(209) 622-1760
Fax
(209) 578-3539
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28302 CA Primary

Addresses

Primary practice location

2020 Standiford Ave # 2
Modesto, CA 95350-6529

Mailing address

2020 Standiford Ave # 2
Modesto, CA 95350-6529
Phone (209) 622-1760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130626000592 CA Practitioner - Chiropractic 5193964914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

817 Coffee Rd
Suite B
Modesto, CA 95355-4241
Phone (209) 222-6061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28302CAMDClinical Social Worker
DC28302CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 8, 2025 Accepting new patients

Locations

817 Coffee Rd
Ste B
Modesto, CA 95355
Phone (209) 222-6061

1524 McHenry Ave
Ste 445
Modesto, CA 95350
Phone (209) 571-0288

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1124164033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE # 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-622-1760",
            "fax_number": "209-578-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 STANDIFORD AVE # 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506529",
            "telephone_number": "209-622-1760",
            "fax_number": "209-578-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAKE",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28302",
            "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 10, 2014; 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.