Organization Active NPI

Pierce Chiropractic Group Inc

  • Chiropractor
  • Discovery Bay, CA
National Provider Identifier
1710124771
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC028420 Issued in CA
Legal business name
PIERCE CHIROPRACTIC GROUP INC
Practice address
2489 Discovery Bay Blvd
Suite 402
Discovery Bay, CA 94505-1011
Phone
(925) 634-2400
Fax
(925) 634-2493
NPI assigned
Jan 13, 2009
Last updated
Aug 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Richard Wayne Pierce Jr., D.C.NPI 1396708640
Title
President/ Owner/ Doctor
Phone
(925) 364-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC028420 CA Primary

Addresses

Primary practice location

2489 Discovery Bay Blvd
Suite 402
Discovery Bay, CA 94505-1011

Mailing address

2489 Discovery Bay Blvd
Suite 402
Discovery Bay, CA 94505-1011
Phone (925) 634-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000560 CA Part B Supplier - Clinic/Group Practice 9739368978 Receives reassigned benefits from 1 practitioner
Practice locations: Discovery Bay, CA

National Provider Directory

National Provider Directory

Locations

2489 Discovery Bay Blvd
Ste 402
Discovery Bay, CA 94505
Phone (925) 303-6403

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1710124771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 DISCOVERY BAY BLVD",
            "address_2": "SUITE 402",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945051011",
            "telephone_number": "925-634-2400",
            "fax_number": "925-634-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DISCOVERY BAY BLVD",
            "address_2": "SUITE 402",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945051011",
            "telephone_number": "925-634-2400",
            "fax_number": "925-634-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER/ DOCTOR",
        "authorized_official_telephone_number": "925-364-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC028420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Discovery Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.