David Elie Carry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31353 Issued in CA

Practice address

1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003

Phone

(310) 543-7779

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Goodlife Physical Medicine CorpGroup PAC ID 0446542922, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.carry.1@22164.direct.athenahealth.com

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.

• Goodlife Physical Medicine Corp

  • General Practice Physician
  • Redondo Beach, CA
  • NPI 1891152781
  Medicare reassignment Care Compare group NPD
• Goodlife Physical Medicine Corp

  • General Practice Physician
  • Torrance, CA
  • NPI 1275229692
  NPD
• Goodlife Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1568944833
  NPD
• Catalyst Diagnostics Professionals Inc

  • General Practice Physician
  • Torrance, CA
  • NPI 1124785142
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1497088074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRY",
        "first_name": "DAVID",
        "middle_name": "ELIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31353",
            "primary": true
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "CA",
            "license": "31353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Carouso, MFT
• Brenda Marie Carranza
• Deborah Carrasco, OD
• Jessica Carrillo
• Selena Valentina Carrillo
• Elaina Marie-Yvette Cartagena, NP
• Mimi V Caseres
• Kylee R Cashion
• Andrea Valeria Casillas
• Rosalba Castellanos, BA

• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.