NPIMap

Organization Active NPI

Demoss Chiropractic

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1790908879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17462 Issued in CA
Legal business name
DEMOSS CHIROPRACTIC
Practice address
20321 SW Birch St
Suite 100
Newport Beach, CA 92660-1756
Phone
(949) 250-0600
Fax
(949) 250-1442
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Trinah Gatewood
Title
Office Manager
Phone
(949) 250-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC17462 CA Primary

Addresses

Primary practice location

20321 SW Birch St
Suite 100
Newport Beach, CA 92660-1756

Mailing address

20321 SW Birch St
Suite 100
Newport Beach, CA 92660-1756
Phone (949) 250-0600

National Provider Directory

National Provider Directory

Locations

20321 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 250-0600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790908879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20321 SW BIRCH ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601756",
            "telephone_number": "949-250-0600",
            "fax_number": "949-250-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 SW BIRCH ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601756",
            "telephone_number": "949-250-0600",
            "fax_number": "949-250-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMOSS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "TRINAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-250-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.