Active NPI
Daniel C Fry, DC
- Chiropractor
- San Juan Capistrano, CA
National Provider Identifier
1669577995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17397
- Practice address
- 27131 Calle Arroyo
Suite 1702
San Juan Capistrano, CA 92675-2700 - Phone
- (949) 830-3539
- Fax
- (949) 489-3749
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17397 | CA | Primary |
Addresses
Primary practice location
27131 Calle Arroyo
Suite 1702
San Juan Capistrano, CA 92675-2700
Mailing address
27131 Calle Arroyo
Suite 1702
San Juan Capistrano, CA 92675-2700
Phone (949) 830-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090122000237 | CA | Practitioner - Chiropractic | 5597829473 | Practice locations: San Juan Capistrano, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
31501 Rancho Viejo Rd
Suite 102
San Juan Capistrano, CA 92675-1870
Phone (949) 830-3539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17397 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1669577995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27131 CALLE ARROYO",
"address_2": "SUITE 1702",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752700",
"telephone_number": "949-830-3539",
"fax_number": "949-489-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27131 CALLE ARROYO",
"address_2": "SUITE 1702",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752700",
"telephone_number": "949-830-3539",
"fax_number": "949-489-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "DANIEL",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.