Individual provider Active NPI

David R Dauer, DC OMD

  • Chiropractor
  • Hermosa Beach, CA
National Provider Identifier
1285888255
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10708 Issued in CA
Practice address
1102 Aviation Blvd Ste C
Hermosa Beach, CA 90254-4000
Phone
(310) 378-9990
Fax
(310) 544-2957
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC10708 CA Primary
Acupuncturist 171100000X AC2645 CA

Addresses

Primary practice location

1102 Aviation Blvd Ste C
Hermosa Beach, CA 90254-4000

Mailing address

PO Box 999
Lomita, CA 90717-0999
Phone (310) 378-9990

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

LicenseStateTypeSpecialty
DC10708CAMDChiropractor
AC2645CAMDAcupuncturist
10708CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Doctor Group Chiropractor PastSince Jan 12, 2017 Accepting new patients
Saber Chiropractic Office , a Professional Corporation 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1285888255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907170999",
            "telephone_number": "310-378-9990",
            "fax_number": "310-544-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 AVIATION BLVD STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544000",
            "telephone_number": "310-378-9990",
            "fax_number": "310-544-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUER",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "DC OMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10708",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.