Active NPI
David Richard Gorrie, D.C.
- Chiropractor
- Tustin, CA
National Provider Identifier
1174694756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC20197
- Practice address
- 12721 Newport Ave
Suite 2
Tustin, CA 92780-8030 - Phone
- (714) 544-9789
- Fax
- (714) 544-9792
- NPI assigned
- Nov 13, 2006
- Last updated
- May 8, 2009
- 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 | DC20197 | CA | Primary |
Addresses
Primary practice location
12721 Newport Ave
Suite 2
Tustin, CA 92780-8030
Mailing address
12721 Newport Ave
Suite 2
Tustin, CA 92780-8030
Phone (714) 544-9789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090513000191 | CA | Practitioner - Chiropractic | 8921157488 | Practice locations: Palm Desert, CA; Santa Ana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
77770 Country Club Dr
Suite F
Palm Desert, CA 92211-6253
Phone (760) 200-9858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC20197 | CA | MD | Chiropractor |
| 20197 | CA | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitlock Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| California Scoliosis Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Tustin, CA
- NPI 1639301880
-
- Chiropractor
- Yucca Valley, CA
- NPI 1538275862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241740800000",
"number": "1174694756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12721 NEWPORT AVE",
"address_2": "SUITE 2",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927808030",
"telephone_number": "714-544-9789",
"fax_number": "714-544-9792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12721 NEWPORT AVE",
"address_2": "SUITE 2",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927808030",
"telephone_number": "714-544-9789",
"fax_number": "714-544-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORRIE",
"first_name": "DAVID",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2009-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC20197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.