Individual provider Active NPI

Robert Glenn Vertrees, CHIROPRACTOR

  • Chiropractor
  • Valley Center, CA
National Provider Identifier
1255476867
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16923 Issued in CA
Practice address
27940 Valley Center Road
Valley Center, CA 92082
Phone
(760) 749-8211
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 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 16923 CA Primary

Addresses

Primary practice location

27940 Valley Center Road
Valley Center, CA 92082

Mailing address

27940 Valley Center Road
Valley Center, CA 92082
Phone (760) 749-8211

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16923CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1255476867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27940 VALLEY CENTER ROAD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "92082",
            "telephone_number": "760-749-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27940 VALLEY CENTER ROAD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "92082",
            "telephone_number": "760-749-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTREES",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.