Individual provider Active NPI

Dale Anthony Giessman, D.C.

  • Chiropractor
  • Brentwood, CA
National Provider Identifier
1669418802
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20601 Issued in CA
Practice address
1120 2ND St
Ste a
Brentwood, CA 94513-2234
Phone
(925) 513-8883
Fax
(925) 513-0724
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC20601 CA Primary

Addresses

Primary practice location

1120 2ND St
Ste a
Brentwood, CA 94513-2234

Mailing address

1120 2ND St
Ste a
Brentwood, CA 94513-2234
Phone (925) 513-8883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000604 CA Practitioner - Chiropractic 8224014725 Practice locations: Brentwood, CA; Pleasanton, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 2ND St
Suite a
Brentwood, CA 94513-2234
Phone (925) 513-8883

148 Ray St
Suite a
Pleasanton, CA 94566-6649
Phone (925) 484-0191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20601CAMDProfessional Counselor
DC20601CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Giessman D.C., a Chiropractic Corporation Chiropractor Current Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

1120 2nd St
Ste A
Brentwood, CA 94513
Phone (925) 513-2483

3249 Mt Diablo Ct
Ste 101B
Lafayette, CA 94549
Phone (925) 513-8883

148 Ray St
Ste A
Pleasanton, CA 94566
Phone (925) 484-0191

Organizations & group practices 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1669418802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 2ND ST",
            "address_2": "STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132234",
            "telephone_number": "925-513-8883",
            "fax_number": "925-513-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 2ND ST",
            "address_2": "STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132234",
            "telephone_number": "925-513-8883",
            "fax_number": "925-513-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESSMAN",
        "first_name": "DALE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.