Individual provider Active NPI

David Charles Hixson, D.C.

  • Chiropractor
  • Atascadero, CA
National Provider Identifier
1700045804
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10459 Issued in CA
Practice address
9655 El Camino Real # a
Atascadero, CA 93422-5535
Phone
(805) 674-1031
Fax
(805) 434-3244
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC10459 CA Primary

Addresses

Primary practice location

9655 El Camino Real # a
Atascadero, CA 93422-5535

Mailing address

9655 El Camino Real # a
Atascadero, CA 93422-5535
Phone (805) 674-1031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000548 CA Practitioner - Chiropractic 4082527536 Practice locations: Atascadero, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9655 El Camino Real
Atascadero, CA 93422-5535
Phone (805) 674-1031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC10459CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wellness Medical Group, Inc Past Accepting new patients
Injury and Wellness Medical Group, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1700045804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 EL CAMINO REAL # A",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225535",
            "telephone_number": "805-674-1031",
            "fax_number": "805-434-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 EL CAMINO REAL # A",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225535",
            "telephone_number": "805-674-1031",
            "fax_number": "805-434-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC10459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.