Organization Active NPI

Goodlife Chiropractic

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1639578164
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31353 Issued in CA
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

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. David Elie Carry, DCNPI 1497088074
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.