Individual provider Active NPI

David Joseph Paris, D.C.

  • Chiropractor
  • Redding, CA
National Provider Identifier
1255329140
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-28016 Issued in CA
Practice address
351 Hartnell Ave
Redding, CA 96002-1845
Phone
(530) 244-8806
Fax
(530) 244-8896
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-28016 CA Primary

Addresses

Primary practice location

351 Hartnell Ave
Redding, CA 96002-1845

Mailing address

351 Hartnell Ave
Redding, CA 96002-1845
Phone (530) 244-8806

Other identifiers 1

IdentifierTypeStateIssuer
DC0280160MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000410 CA Practitioner - Chiropractic 4880638899 Practice locations: Mount Shasta, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-28016CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Dignity Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1255329140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-244-8806",
            "fax_number": "530-244-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-244-8806",
            "fax_number": "530-244-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0280160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.