Organization Active NPI

Carrino Chiropractic Inc

  • Chiropractor
  • Redding, CA
National Provider Identifier
1427107333
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 21651 Issued in CA
Legal business name
CARRINO CHIROPRACTIC INC
Practice address
153 Hartnell Ave
Suite 300
Redding, CA 96002-1856
Phone
(530) 243-2300
Fax
(530) 222-0318
NPI assigned
Jan 9, 2007
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Samuel J Carrino Jr., D.C.NPI 1841373305
Title
President Ceo
Phone
(530) 243-2300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 21651 CA Primary

Addresses

Primary practice location

153 Hartnell Ave
Suite 300
Redding, CA 96002-1856

Mailing address

153 Hartnell Ave
Suite 300
Redding, CA 96002-1856
Phone (530) 243-2300

Other identifiers 1

IdentifierTypeStateIssuer
DC0216510MedicaidCA

Other names 1

  • Dr Samuel J Carrino Jr D C Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000300 CA Part B Supplier - Clinic/Group Practice 3870662208 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

153 Hartnell Ave
#3000
Redding, CA 96002

153 Hartnell Ave
Ste 300
Redding, CA 96002
Phone (530) 243-2300

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1427107333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HARTNELL AVE",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021856",
            "telephone_number": "530-243-2300",
            "fax_number": "530-222-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 HARTNELL AVE",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021856",
            "telephone_number": "530-243-2300",
            "fax_number": "530-222-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRINO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "CARRINO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "530-243-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC  21651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0216510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Samuel J Carrino Jr D C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.