Individual provider Active NPI

Dean G Early, D.C.

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1184614521
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13771 Issued in CA
Practice address
3507 Tully Rd Ste 300
Modesto, CA 95356-1036
Phone
(209) 526-9400
Fax
(209) 526-9444
NPI assigned
Oct 26, 2005
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13771 CA Primary

Addresses

Primary practice location

3507 Tully Rd Ste 300
Modesto, CA 95356-1036

Mailing address

3507 Tully Rd Ste 300
Modesto, CA 95356-1036
Phone (209) 526-9400

Other identifiers 1

IdentifierTypeStateIssuer
GDC000220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000709 CA Practitioner - Chiropractic 8820011109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3507 Tully Rd
Suite 300
Modesto, CA 95356-1036
Phone (209) 526-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Early Chiropractic Corporation Chiropractor CurrentSince Jan 1, 1995 Accepting new patients
Ronald J. Mostowski,Chiropractic, Inc. Chiropractor PastSince Jul 31, 2006 Accepting new patients

Locations

1500 Standiford Ave
Ste B
Modesto, CA 95350
Phone (209) 577-3300

3507 Tully Rd
Ste 300
Modesto, CA 95356
Phone (209) 526-9400

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1184614521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 TULLY RD STE 300",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561036",
            "telephone_number": "209-526-9400",
            "fax_number": "209-526-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 TULLY RD STE 300",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561036",
            "telephone_number": "209-526-9400",
            "fax_number": "209-526-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "DEAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDC000220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.