M. Geoffreys, a Professional Chiropractic Corporation

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

23040 Issued in CA

Legal business name

M. GEOFFREYS, A PROFESSIONAL CHIROPRACTIC CORPORATION

Practice address

24863 Del Prado
Dana Point, CA 92629-2853

Phone

(949) 248-1314

Fax

(949) 248-1335

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Martin D. Geoffreys, D.C., CCSPNPI 1518024223

Title

Owner/Chiropractor

Phone

(949) 248-1314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin D. Geoffreys, D.C., CCSP

  • Sports Physician Chiropractor
  • Dana Point, CA
  • NPI 1518024223
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1699102400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24863 DEL PRADO",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "92629",
            "telephone_number": "949-248-1314",
            "fax_number": "949-248-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24863 DEL PRADO",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292853",
            "telephone_number": "949-248-1314",
            "fax_number": "949-248-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. GEOFFREYS, A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "GEOFFREYS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "949-248-1314",
        "authorized_official_credential": "D.C., CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "23040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lozano
• Lucich Chiropractic a Professional Corporation
• Burton Anthony Lucich, D.C.
• Luminance Health Group, Inc.
• Jennifer Lyons, MSW
• Lindsey Mah
• John Andrew Maher, L.AC
• Amanda Valerie Maitino, DDS
• Herbert Sheldon Malmon, DDS
• Nazanin Manouchehri Far, PHARM.D.

• Sports Physician Chiropractor in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.