Active NPI
M Dean Kerr, DC
- Chiropractor
- Chino, CA
National Provider Identifier
1821209222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11002
- Practice address
- 13039 7TH St
Chino, CA 91710-4112 - Phone
- (909) 627-3633
- NPI assigned
- May 25, 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 | 11002 | CA | Primary |
Addresses
Primary practice location
13039 7TH St
Chino, CA 91710-4112
Mailing address
13039 Seventh St
Chino, CA 91710-4112
Phone (909) 627-3633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2243227 | 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 |
|---|---|---|---|
| 11002 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821209222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13039 SEVENTH ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917104112",
"telephone_number": "909-627-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13039 7TH ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917104112",
"telephone_number": "909-627-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "M",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2243227",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.