Individual provider Active NPI

Rae Hunt Sharp, D.C., Q.M.E.

  • Chiropractor
  • San Bernardino, CA
National Provider Identifier
1790907525
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17713 Issued in CA
Practice address
3155 N E St
San Bernardino, CA 92405-2615
Phone
(909) 881-1978
Fax
(909) 882-7525
NPI assigned
May 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17713 CA Primary
Independent Medical Examiner Chiropractor 111NI0013X DC17713 CA

Addresses

Primary practice location

3155 N E St
San Bernardino, CA 92405-2615

Mailing address

3155 N E St
San Bernardino, CA 92405-2615
Phone (909) 881-1978

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

LicenseStateTypeSpecialty
17713CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790907525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924052615",
            "telephone_number": "909-881-1978",
            "fax_number": "909-882-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924052615",
            "telephone_number": "909-881-1978",
            "fax_number": "909-882-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "RAE",
        "middle_name": "HUNT",
        "name_prefix": "Dr.",
        "credential": "D.C., Q.M.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17713",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC17713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.