Individual provider Active NPI

Errol Gellerman Levine, DC

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1497349500
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36028 Issued in CA
Practice address
111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626
Phone
(831) 429-1188
Fax
(831) 429-1396
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36028 CA Primary

Addresses

Primary practice location

111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626

Mailing address

111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626
Phone (831) 420-7801

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dakotahealthcenter.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314001288 CA Practitioner - Chiropractic 0749654721 Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36028CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
River Street Integrative Medicine, Inc. Past Accepting new patients
Scott Sawyer Chiropractic, Inc. Chiropractor PastSince Sep 11, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1497349500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAKOTA AVE STE 2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606626",
            "telephone_number": "831-420-7801",
            "fax_number": "831-429-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAKOTA AVE STE 2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606626",
            "telephone_number": "831-429-1188",
            "fax_number": "831-429-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ERROL",
        "middle_name": "GELLERMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dakotahealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 Dakota Ave Ste 2",
            "city": "Santa Cruz",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950606626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.