Individual provider Active NPI

David Ringdahl, D.C.

  • Chiropractor
  • Orange, CA
National Provider Identifier
1689609562
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26583 Issued in CA
Practice address
665 N Tustin St
Suite # L
Orange, CA 92867-7146
Phone
(714) 771-0777
Fax
(714) 771-0044
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26583 CA Primary

Addresses

Primary practice location

665 N Tustin St
Suite # L
Orange, CA 92867-7146

Mailing address

665 N Tustin St
Suite # L
Orange, CA 92867-7146
Phone (714) 771-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000570 CA Practitioner - Chiropractic 8921079401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26583CAMDChiropractor
26583CAMDPediatric Occupational Therapist

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1689609562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N TUSTIN ST",
            "address_2": "SUITE # L",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677146",
            "telephone_number": "714-771-0777",
            "fax_number": "714-771-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N TUSTIN ST",
            "address_2": "SUITE # L",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677146",
            "telephone_number": "714-771-0777",
            "fax_number": "714-771-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGDAHL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.