Individual provider Active NPI

Charles Harper, D.C.

  • Chiropractor
  • Hermosa Beach, CA
National Provider Identifier
1154657690
Registry record updated Oct 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 27440 Issued in CA
Practice address
3201 Pacific Coast Hwy
A
Hermosa Beach, CA 90254-2200
Phone
(310) 376-8949
Fax
(310) 798-2569
NPI assigned
Oct 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 27440 CA Primary

Addresses

Primary practice location

3201 Pacific Coast Hwy
A
Hermosa Beach, CA 90254-2200

Mailing address

3201 Pacific Coast Hwy
A
Hermosa Beach, CA 90254-2200
Phone (310) 376-8949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 27440CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Chiropractic Center Chiropractor Past Accepting new patients

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": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255824000000",
    "number": "1154657690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PACIFIC COAST HWY",
            "address_2": "A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542200",
            "telephone_number": "310-376-8949",
            "fax_number": "310-798-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PACIFIC COAST HWY",
            "address_2": "A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542200",
            "telephone_number": "310-376-8949",
            "fax_number": "310-798-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; 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.