Active NPI
Craig Alan Kortmeyer, DC
- Chiropractor
- Palm Desert, CA
National Provider Identifier
1235205840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC113250
- Practice address
- 73896 El Paseo
Suite 12
Palm Desert, CA 92260-4390 - Phone
- (760) 776-4070
- Fax
- (760) 776-4067
- NPI assigned
- Nov 27, 2006
- 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 | DC113250 | CA | Primary |
Addresses
Primary practice location
73896 El Paseo
Suite 12
Palm Desert, CA 92260-4390
Mailing address
73896 El Paseo
Suite 12
Palm Desert, CA 92260-4390
Phone (760) 776-4070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350039754 | Other | MEDICARE RAILROAD RETIREM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC113250 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1235205840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73896 EL PASEO",
"address_2": "SUITE 12",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604390",
"telephone_number": "760-776-4070",
"fax_number": "760-776-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73896 EL PASEO",
"address_2": "SUITE 12",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604390",
"telephone_number": "760-776-4070",
"fax_number": "760-776-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORTMEYER",
"first_name": "CRAIG",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC113250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD RETIREM",
"identifier": "350039754",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.