Individual provider Active NPI

Carolyn Marossy, D.C.

  • Sports Physician Chiropractor
  • Redding, CA
National Provider Identifier
1598830309
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC016611 Issued in CA
Practice address
15347 Middletown Park Dr
Redding, CA 96001-9736
Phone
(530) 246-0317
Fax
(530) 243-5089
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Sports Physician Chiropractor 111NS0005X DC016611 CA Primary

Addresses

Primary practice location

15347 Middletown Park Dr
Redding, CA 96001-9736

Mailing address

15347 Middletown Park Dr
Redding, CA 96001-9736
Phone (530) 246-0317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000950 CA Practitioner - Chiropractic 8628236056 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1826 Sonoma St
Redding, CA 96001-2535
Phone (530) 246-0317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC016611CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm D. Hill, M.D., Inc 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, 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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598830309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15347 MIDDLETOWN PARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960019736",
            "telephone_number": "530-246-0317",
            "fax_number": "530-243-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15347 MIDDLETOWN PARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960019736",
            "telephone_number": "530-246-0317",
            "fax_number": "530-243-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROSSY",
        "first_name": "CAROLYN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC016611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, 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.
  • 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.