Active NPI
David Martin Landry II, D.C.
- Chiropractor
- Riverside, CA
National Provider Identifier
1790918233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32714
- Practice address
- 3576 Arlington Ave Ste 211
Riverside, CA 92506-3986 - Phone
- (951) 405-8868
- Fax
- (951) 742-4704
- NPI assigned
- Sep 1, 2009
- 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 | 32714 | CA | Primary |
Addresses
Primary practice location
3576 Arlington Ave Ste 211
Riverside, CA 92506-3986
Mailing address
3576 Arlington Ave Ste 211
Riverside, CA 92506-3986
Phone (951) 505-5243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250221002307 | CA | Practitioner - Chiropractic | 5294876447 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32714 | CA | MD | Physical Therapist |
| 5274 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landry Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
3576 Arlington Ave
Ste 211
Riverside, CA 92506
Phone (951) 405-8868
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Riverside, CA
- NPI 1104632033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1790918233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE STE 211",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063986",
"telephone_number": "951-505-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE STE 211",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063986",
"telephone_number": "951-405-8868",
"fax_number": "951-742-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "DAVID",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.