Active NPI
Roy Damser, D.C.
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1720194707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17432
- Practice address
- 191 E 16TH St
Costa Mesa, CA 92627-3764 - Phone
- (949) 548-2350
- Fax
- (949) 548-0717
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17432 | CA | Primary |
Addresses
Primary practice location
191 E 16TH St
Costa Mesa, CA 92627-3764
Mailing address
191 E 16TH St
Costa Mesa, CA 92627-3764
Phone (949) 548-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC17432 | Other | CA | STATE CHIROLICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100913000132 | CA | Practitioner - Chiropractic | 8628193851 | Practice locations: Costa Mesa, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
191 E 16TH St
Costa Mesa, CA 92627-3764
Phone (949) 548-2350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17432 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald Radlauer MD Inc | Past | Accepting new patients | |
| Roy Damser | Chiropractor | 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.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1043633464
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1578716288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720194707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 E 16TH ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273764",
"telephone_number": "949-548-2350",
"fax_number": "949-548-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 E 16TH ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273764",
"telephone_number": "949-548-2350",
"fax_number": "949-548-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMSER",
"first_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CHIROLICENSE NUMBER",
"identifier": "DC17432",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.