Individual provider Active NPI

Gregory Dabb, D.C.

  • Chiropractor
  • Los Altos, CA
National Provider Identifier
1174670905
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26952 Issued in CA
Practice address
4546 El Camino Real
Suite B2
Los Altos, CA 94022-3031
Phone
(650) 949-0154
Fax
(650) 949-1045
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26952 CA Primary

Addresses

Primary practice location

4546 El Camino Real
Suite B2
Los Altos, CA 94022-3031

Mailing address

4546 El Camino Real
Suite B2
Los Altos, CA 94022-3031
Phone (650) 949-0154

Other identifiers 1

IdentifierTypeStateIssuer
DC26952OtherSTATE LICENSE #

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
DC26952CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1174670905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL",
            "address_2": "SUITE B2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223031",
            "telephone_number": "650-949-0154",
            "fax_number": "650-949-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL",
            "address_2": "SUITE B2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223031",
            "telephone_number": "650-949-0154",
            "fax_number": "650-949-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABB",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "DC26952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.