David G Madison DC Chiropractic Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC11474 Issued in CA

Legal business name

DAVID G MADISON DC CHIROPRACTIC CORPORATION

Practice address

3768 Jurupa Avenue
Riverside, CA 92506

Phone

(951) 784-7800

Fax

(951) 784-7803

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Gary Madison, DCNPI 1508873803

Title

Owner/President

Phone

(951) 784-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• David G Madison, D.C.

  • Orthopedic Chiropractor
  • Riverside, CA
  • NPI 1508873803
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1841592532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 JURUPA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062514",
            "telephone_number": "951-784-7800",
            "fax_number": "951-784-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 JURUPA AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-784-7800",
            "fax_number": "951-784-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G MADISON DC CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-784-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC11474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0114740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashley Danielle Davids

• Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.

Verify at the official NPI Registry.