Individual provider Active NPI

Richard Marley Palmer, D.C

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1881854644
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0207350 Issued in CA
Practice address
1325 E Thousand Oaks Blvd
104
Thousand Oaks, CA 91362-2822
Phone
(805) 371-6144
Fax
(805) 371-6148
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0207350 CA Primary

Addresses

Primary practice location

1325 E Thousand Oaks Blvd
104
Thousand Oaks, CA 91362-2822

Mailing address

1325 E Thousand Oaks Blvd
104
Thousand Oaks, CA 91362-2822
Phone (805) 371-6148

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
DC0207350CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1881854644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E THOUSAND OAKS BLVD",
            "address_2": "104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622822",
            "telephone_number": "805-371-6148",
            "fax_number": "805-371-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E THOUSAND OAKS BLVD",
            "address_2": "104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622822",
            "telephone_number": "805-371-6144",
            "fax_number": "805-371-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RICHARD",
        "middle_name": "MARLEY",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0207350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.