Individual provider Active NPI

Curtis Ray Salley, D.C.

  • Chiropractor
  • Beaumont, CA
National Provider Identifier
1538192034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14424 Issued in CA
Practice address
851 E 6TH St
Suite B-1
Beaumont, CA 92223-2217
Phone
(951) 845-1931
Fax
(951) 845-0557
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14424 CA Primary

Addresses

Primary practice location

851 E 6TH St
Suite B-1
Beaumont, CA 92223-2217

Mailing address

851 E 6TH St
Suite B-1
Beaumont, CA 92223-2217
Phone (951) 845-1931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000291 CA Practitioner - Chiropractic 9234146077 Practice locations: Beaumont, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14224CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dark & Kaibel, D.C.'S Chiropractor Past Accepting new patients

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538192034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 6TH ST",
            "address_2": "SUITE B-1",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232217",
            "telephone_number": "951-845-1931",
            "fax_number": "951-845-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 6TH ST",
            "address_2": "SUITE B-1",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232217",
            "telephone_number": "951-845-1931",
            "fax_number": "951-845-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "CURTIS",
        "middle_name": "RAY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.