Active NPI
Tracey Diner, D.C.
- Chiropractor
- Dana Point, CA
National Provider Identifier
1669607057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21947
- Practice address
- 25032 Via Elevado
Dana Point, CA 92629-2641 - Phone
- (949) 303-9944
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 21947 | CA | Primary |
Addresses
Primary practice location
25032 Via Elevado
Dana Point, CA 92629-2641
Mailing address
25032 Via Elevado
Dana Point, CA 92629-2641
Phone (949) 303-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1669607057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25032 VIA ELEVADO",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292641",
"telephone_number": "949-303-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25032 VIA ELEVADO",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292641",
"telephone_number": "949-303-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINER",
"first_name": "TRACEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.