Organization Active NPI

Gentry Chiropractic Inc

Doing business as Chiro Care Therapy

  • Chiropractor
  • Rancho Santa Margarita, CA
National Provider Identifier
1396423695
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GENTRY CHIROPRACTIC INC
Doing business as
Chiro Care Therapy
Practice address
30486 Avenida de Las Banderas Ste D
Rancho Santa Margarita, CA 92688-3948
Phone
(949) 888-0404
Fax
(949) 888-0818
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Steven Gentry, DCNPI 1093802449
Title
Owner
Phone
(949) 888-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

30486 Avenida de Las Banderas Ste D
Rancho Santa Margarita, CA 92688-3948

Mailing address

30486 Avenida de Las Banderas Ste D
Rancho Santa Margarita, CA 92688-3948
Phone (949) 888-0404

Other names 1

  • Chiro Care Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107000257 CA Part B Supplier - Clinic/Group Practice 2961859343 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Santa Margarita, CA

National Provider Directory

National Provider Directory

Locations

30486 Avenida de las Banderas
Ste D
Rcho Sta Marg, CA 92688
Phone (949) 888-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1396423695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30486 AVENIDA DE LAS BANDERAS STE D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883948",
            "telephone_number": "949-888-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30486 AVENIDA DE LAS BANDERAS STE D",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883948",
            "telephone_number": "949-888-0404",
            "fax_number": "949-888-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTRY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-888-0404",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiro Care Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.