Individual provider Active NPI

David Richard Gorrie, D.C.

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1174694756
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20197 Issued in CA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC20197CAMDChiropractor
20197CAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.