Individual provider Active NPI

Gregory J Salem, D.C.

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1710072632
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17986 Issued in CA
Practice address
13882 Newport Ave Ste B
Tustin, CA 92780-4666
Phone
(714) 832-4010
Fax
(714) 832-2423
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17986 CA Primary

Addresses

Primary practice location

13882 Newport Ave Ste B
Tustin, CA 92780-4666

Mailing address

13891 Newport Ave
Ste 290
Tustin, CA 92780-7835
Phone (714) 832-4010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000419 CA Practitioner - Chiropractic 7416010202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13891 Newport Ave
Suite 290
Tustin, CA 92780-7835
Phone (714) 832-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17986CAMDProfessional Counselor
DC17986CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Chiropractic PC Chiropractor CurrentSince Jan 5, 2009 Accepting new patients

Locations

13882 Newport Ave
Ste B
Tustin, CA 92780
Phone (714) 832-4010

13891 Newport Ave
Ste 290
Tustin, CA 92780
Phone (714) 832-4010

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1710072632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13891 NEWPORT AVE",
            "address_2": "STE 290",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807835",
            "telephone_number": "714-832-4010",
            "fax_number": "714-515-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13882 NEWPORT AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804666",
            "telephone_number": "714-832-4010",
            "fax_number": "714-832-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.