Individual provider Active NPI

Gregory D Yeend, D.C.

  • Chiropractor
  • Palm Desert, CA
National Provider Identifier
1720015944
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20850 Issued in CA
Practice address
72650 Fred Waring Dr Ste 110B
Palm Desert, CA 92260-5008
Phone
(760) 346-5660
Fax
(760) 346-5640
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC20850 CA Primary

Addresses

Primary practice location

72650 Fred Waring Dr Ste 110B
Palm Desert, CA 92260-5008

Mailing address

72650 Fred Waring Dr Ste 110B
Palm Desert, CA 92260-5008
Phone (760) 346-5660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000088 CA Practitioner - Chiropractic 5890894877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

72650 Fred Waring Dr
Suite 110B
Palm Desert, CA 92260-5008
Phone (760) 346-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC20850CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Urgent Care Centers Inc PastSince Nov 20, 2006 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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1720015944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 110B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605008",
            "telephone_number": "760-346-5660",
            "fax_number": "760-346-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 110B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605008",
            "telephone_number": "760-346-5660",
            "fax_number": "760-346-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEEND",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.