Organization Active NPI

Gerald D. Patterson, D.C. Chiropractic Corporation

  • Chiropractor
  • Merced, CA
National Provider Identifier
1679747083
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0101590 Issued in CA
Legal business name
GERALD D. PATTERSON, D.C. CHIROPRACTIC CORPORATION
Practice address
3191 M St Ste a
Merced, CA 95348-2405
Phone
(209) 383-9324
Fax
(209) 383-9328
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Miss Jenny Lee
Title
Medical Billing/ Reception
Phone
(209) 383-9324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0101590 CA Primary

Addresses

Primary practice location

3191 M St Ste a
Merced, CA 95348-2405

Mailing address

3144 G St Ste 125
Merced, CA 95340-1385
Phone (209) 383-9324

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ22956ZOtherCAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

3191 M St
Merced, CA 95348
Phone (209) 383-9324

3191 M St
Ste A
Merced, CA 95348
Phone (209) 383-9324

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1679747083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 G ST STE 125",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401385",
            "telephone_number": "209-383-9324",
            "fax_number": "209-383-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 M ST STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482405",
            "telephone_number": "209-383-9324",
            "fax_number": "209-383-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD D. PATTERSON, D.C. CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MEDICAL BILLING/ RECEPTION",
        "authorized_official_telephone_number": "209-383-9324",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0101590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ22956Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.