Active NPI
Larry C Payne, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1316011067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21466
- Practice address
- 670 River Oaks Pkwy Ste K
San Jose, CA 95134-1988 - Phone
- (408) 435-1133
- Fax
- (408) 435-1166
- NPI assigned
- Nov 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 21466 | CA | Primary |
Addresses
Primary practice location
670 River Oaks Pkwy Ste K
San Jose, CA 95134-1988
Mailing address
670 River Oaks Pkwy Ste K
San Jose, CA 95134-1988
Phone (408) 435-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
670 River Oaks Pkwy
Suite K
San Jose, CA 95134-1988
Phone (408) 435-1133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Payne Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
670 River Oaks Pkwy
Ste K
San Jose, CA 95134
Phone (408) 435-1133
Organizations & group practices 1
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": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316011067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 RIVER OAKS PKWY STE K",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341988",
"telephone_number": "408-435-1133",
"fax_number": "408-435-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 RIVER OAKS PKWY STE K",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341988",
"telephone_number": "408-435-1133",
"fax_number": "408-435-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LARRY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.