Active NPI
Gerald L Steele, D.C.
- Chiropractor
- Modesto, CA
National Provider Identifier
1831138494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30116
- Practice address
- 1604 Ford Ave
Suite 14
Modesto, CA 95350-4631 - Phone
- (209) 402-5815
- Fax
- (866) 816-9522
- NPI assigned
- Jun 6, 2006
- 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 | DC30116 | CA | Primary |
Addresses
Primary practice location
1604 Ford Ave
Suite 14
Modesto, CA 95350-4631
Mailing address
1604 Ford Ave
Suite 14
Modesto, CA 95350-4631
Phone (209) 402-5815
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 |
|---|---|---|---|
| DC30116 | CA | MD | Chiropractor |
| 30116 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1831138494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 FORD AVE",
"address_2": "SUITE 14",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504631",
"telephone_number": "209-402-5815",
"fax_number": "866-816-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 FORD AVE",
"address_2": "SUITE 14",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504631",
"telephone_number": "209-402-5815",
"fax_number": "866-816-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "GERALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.