Active NPI
David Sherman Ellyson, D.C.
- Chiropractor
- Marysville, CA
National Provider Identifier
1497951636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29423
- Practice address
- 605 E St
Marysville, CA 95901-5502 - Phone
- (530) 743-2093
- Fax
- (530) 743-3301
- NPI assigned
- Jun 25, 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 | 29423 | CA | Primary |
Addresses
Primary practice location
605 E St
Marysville, CA 95901-5502
Mailing address
605 E St
Marysville, CA 95901-5502
Phone (530) 743-2093
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
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
605 E St
Marysville, CA 95901-5502
Phone (530) 743-2093
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.54 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 82.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29423 | CA | MD | Pharmacist |
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
- Marysville, CA
- NPI 1740310432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1497951636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015502",
"telephone_number": "530-743-2093",
"fax_number": "530-743-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015502",
"telephone_number": "530-743-2093",
"fax_number": "530-743-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLYSON",
"first_name": "DAVID",
"middle_name": "SHERMAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.