Active NPI
Casey Jay Derr, D.C.
- Chiropractor
- Mountain View, CA
National Provider Identifier
1770959579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33356
- Practice address
- 2044 Old Middlefield Way
Suite 101
Mountain View, CA 94043-2402 - Phone
- (650) 701-7090
- NPI assigned
- Aug 15, 2015
- 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 | 33356 | CA | Primary |
Addresses
Primary practice location
2044 Old Middlefield Way
Suite 101
Mountain View, CA 94043-2402
Mailing address
85 Rio Robles E
Apartment 1232
San Jose, CA 95134-1651
Phone (308) 870-4289
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33356 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1770959579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 RIO ROBLES E",
"address_2": "APARTMENT 1232",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341651",
"telephone_number": "308-870-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2044 OLD MIDDLEFIELD WAY",
"address_2": "SUITE 101",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940432402",
"telephone_number": "650-701-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERR",
"first_name": "CASEY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-15",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.