Individual provider Active NPI

Patrick Kasey Pierce, DC

  • Chiropractor
  • Valley Center, CA
National Provider Identifier
1356018444
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34557 Issued in CA
Practice address
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone
(760) 749-1410
NPI assigned
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34557 CA Primary

Addresses

Primary practice location

50100 Golsh Rd
Valley Center, CA 92082-5338

Mailing address

14163 Old El Camino Real Apt 24
San Diego, CA 92130-3057
Phone (760) 473-4730

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Desktop

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228001267 CA Practitioner - Chiropractic 4385035476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians

Practice addresses (Care Compare)

50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34557CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Tide and Pine Chiropractic LLC Chiropractor Current Accepting new patients
Indian Health Council, Inc CurrentSince Sep 21, 2021 Accepting new patients

Locations

50100 Golsh Rd
Valley Center, CA 92082
Phone (760) 749-1410

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, 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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1356018444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14163 OLD EL CAMINO REAL APT 24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303057",
            "telephone_number": "760-473-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "PATRICK",
        "middle_name": "KASEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "50100 Golsh Rd",
            "city": "Valley Center",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920825338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 25, 2021; 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.

Verify at the official NPI Registry.