Individual provider Active NPI

David Sherman Ellyson, D.C.

  • Chiropractor
  • Marysville, CA
National Provider Identifier
1497951636
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29423 Issued in CA
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

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050526001032 CA Practitioner - Chiropractic 2567404726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellyson Chiropractic CorporationGroup PAC ID 8820030083, 2 clinicians

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 100Reported as individual
Quality
100
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29423CAMDPharmacist

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.

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.

Verify at the official NPI Registry.