Active NPI
Gregery K Lester, DC
- Chiropractor
- Guerneville, CA
National Provider Identifier
1770615213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0179380
- Practice address
- 16342 Third St #2
Guerneville, CA 95446-1115 - Phone
- (707) 869-8123
- NPI assigned
- Mar 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC0179380 | CA | Primary |
Addresses
Primary practice location
16342 Third St #2
Guerneville, CA 95446-1115
Mailing address
PO Box 1115
Guerneville, CA 95446-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2902812 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0179380 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1770615213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1115",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954461115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16342 THIRD ST #2",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954461115",
"telephone_number": "707-869-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "GREGERY",
"middle_name": "K",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-11",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0179380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2902812",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guerneville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.