Jeremy Sean Dorris, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC-31471 Issued in CA

Practice address

10330 Friars Rd Ste 111
San Diego, CA 92120-2300

Phone

(619) 281-7800

Fax

(619) 542-1792

NPI assigned

Dec 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1427388396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 FRIARS RD",
            "address_2": "STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202300",
            "telephone_number": "619-405-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 FRIARS RD STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202300",
            "telephone_number": "619-281-7800",
            "fax_number": "619-542-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "JEREMY",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC-31471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Z Wang Optometry Inc
• Vanessa Dorricott
• Dorris Chiropractic Inc.
• Andrea Baiotto Dorris, DC
• Danielle Dorris, FNP-C
• Kathryn Nicole Dorroh, DPT
• Maria Josefa Dorronsoro
• Stephen Martin Dorros, M.D.
• Lori Dorsey-Guillory
• Francesca Dorsey-Oresto

• Sports Physician Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.