Individual provider Active NPI

Roy Damser, D.C.

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1720194707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17432 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC17432OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000132 CA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8628193851 Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
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

LicenseStateTypeSpecialty
DC17432CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Radlauer MD Inc Past Accepting new patients
Roy Damser Chiropractor PastSince Jul 7, 1986 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": "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

Verify at the official NPI Registry.