Individual provider Active NPI

Mitchell Brian Mays, D.C.

  • Chiropractor
  • Lodi, CA
National Provider Identifier
1750447587
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11979 Issued in CA
Practice address
801 S Fairmont Ave
Suite 7
Lodi, CA 95240-5106
Phone
(209) 368-1895
Fax
(209) 333-1905
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11979 CA Primary

Addresses

Primary practice location

801 S Fairmont Ave
Suite 7
Lodi, CA 95240-5106

Mailing address

801 S Fairmont Ave
Suite 7
Lodi, CA 95240-5106
Phone (209) 368-1895

Other identifiers 1

IdentifierTypeStateIssuer
27-1293092OtherCATAX IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1750447587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FAIRMONT AVE",
            "address_2": "SUITE 7",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405106",
            "telephone_number": "209-368-1895",
            "fax_number": "209-333-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FAIRMONT AVE",
            "address_2": "SUITE 7",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405106",
            "telephone_number": "209-368-1895",
            "fax_number": "209-333-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "MITCHELL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "27-1293092",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.