Active NPI
David P. Van Dyke, D.C.
- Chiropractor
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18264
- Practice address
- 1150 Grove St
San Luis Obispo, CA 93401-2914 - Phone
- (805) 541-2727
- Fax
- (805) 541-2729
- NPI assigned
- Feb 28, 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 | DC18264 | CA | Primary |
Addresses
Primary practice location
1150 Grove St
San Luis Obispo, CA 93401-2914
Mailing address
1150 Grove Street
San Luis Obispo, CA 93401-2914
Phone (805) 514-2727
Other names 1
- David P. Van Dyke
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 - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1150 Grove St
San Luis Obispo, CA 93401-2914
Phone (805) 541-2727
1241 Knollwood Dr
Suite 201B
Cambria, CA 93428-3337
Phone (805) 927-8631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18264 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Van Dyke Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
1241 Knollwood Dr
Cambria, CA 93428
Phone (805) 927-8631
1150 Grove St
Sn Luis Obisp, CA 93401
Phone (805) 541-2727
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 and National Provider Directory roles.
-
- Chiropractor
- Cambria, CA
- NPI 1790812667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1447387121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 GROVE STREET",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012914",
"telephone_number": "805-514-2727",
"fax_number": "805-541-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 GROVE ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012914",
"telephone_number": "805-541-2727",
"fax_number": "805-541-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DYKE",
"first_name": "DAVID",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "VAN DYKE",
"middle_name": "P.",
"credential": "D. C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.