Active NPI
David Greenberg, D.C.
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1124188008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27231
- Practice address
- 275 Victoria St
Ste. 2a
Costa Mesa, CA 92627-1906 - Phone
- (949) 574-2700
- Fax
- (949) 574-2777
- NPI assigned
- Dec 11, 2006
- 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 | DC27231 | CA | Primary |
Addresses
Primary practice location
275 Victoria St
Ste. 2a
Costa Mesa, CA 92627-1906
Mailing address
1418 Mariners Dr
Newport Beach, CA 92660-4412
Phone (949) 642-5733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050531000766 | CA | Practitioner - Chiropractic | 2860434800 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27231 | CA | MD | Clinical Psychologist |
| DC27231 | CA | MD | Chiropractor |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1124188008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 MARINERS DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926604412",
"telephone_number": "949-642-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"address_2": "STE. 2A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271906",
"telephone_number": "949-574-2700",
"fax_number": "949-574-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.