Active NPI
Goodlife Chiropractic
- Chiropractor
- Redondo Beach, CA
National Provider Identifier
1639578164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31353
- Legal business name
- GOODLIFE CHIROPRACTIC
- Practice address
- 1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003 - Phone
- (310) 543-7779
- Fax
- (310) 961-5942
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Elie Carry, DC
- Title
- Ceo
- Phone
- (310) 543-7779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31353 | CA | Primary |
Addresses
Primary practice location
1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003
Mailing address
1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003
Phone (310) 543-7779
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Redondo Beach, CA
- NPI 1497088074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1639578164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S PACIFIC COAST HWY",
"address_2": "SUITE 201",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775003",
"telephone_number": "310-543-7779",
"fax_number": "310-961-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S PACIFIC COAST HWY",
"address_2": "SUITE 201",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775003",
"telephone_number": "310-543-7779",
"fax_number": "310-961-5942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODLIFE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "CARRY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ELIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-543-7779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.