Individual provider Active NPI

John P. Earnest, D.C.

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1629093687
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10881 Issued in CA
Practice address
14742 Plaza Dr
Ste 101
Tustin, CA 92780-8010
Phone
(714) 838-1255
Fax
(714) 838-5784
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC10881 CA Primary

Addresses

Primary practice location

14742 Plaza Dr
Ste 101
Tustin, CA 92780-8010

Mailing address

14742 Plaza Dr
Ste 101
Tustin, CA 92780-8010
Phone (714) 838-1255

Other identifiers 1

IdentifierTypeStateIssuer
DC0108810OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090107000351 CA Practitioner - Chiropractic 2466514435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1972
Medicare assignment
May accept Medicare assignment
Group practices
Da Molthen JP Earnest Doctors of Chiropractic ApcGroup PAC ID 7113089186, 2 clinicians

Practice addresses (Care Compare)

14742 Plaza Dr
Suite 203
Tustin, CA 92780-8010
Phone (714) 838-1255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1629093687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14742 PLAZA DR",
            "address_2": "STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808010",
            "telephone_number": "714-838-1255",
            "fax_number": "714-838-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14742 PLAZA DR",
            "address_2": "STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808010",
            "telephone_number": "714-838-1255",
            "fax_number": "714-838-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0108810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.