Individual provider Active NPI

Ian Sheene Davis-Tremayne, D.C.

  • Chiropractor
  • Mill Valley, CA
National Provider Identifier
1881834646
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31152 Issued in CA
Practice address
465 Miller Ave
Mill Valley, CA 94941-2941
Phone
(415) 389-8435
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31152 CA Primary

Addresses

Primary practice location

465 Miller Ave
Mill Valley, CA 94941-2941

Mailing address

465 Miller Ave
Mill Valley, CA 94941-2941
Phone (415) 389-8435

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC31152CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1881834646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412941",
            "telephone_number": "415-389-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412941",
            "telephone_number": "415-389-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-TREMAYNE",
        "first_name": "IAN",
        "middle_name": "SHEENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.