Active NPI
David Donald Eckerson, DC
- Chiropractor
- Ventura, CA
National Provider Identifier
1912005448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19107
- Practice address
- 4464 McGrath St Ste 105
Ventura, CA 93003-7764 - Phone
- (805) 278-6767
- Fax
- (805) 278-8282
- NPI assigned
- Sep 20, 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 | DC19107 | CA | Primary |
Addresses
Primary practice location
4464 McGrath St Ste 105
Ventura, CA 93003-7764
Mailing address
4464 McGrath St Ste 105
Ventura, CA 93003-7764
Phone (805) 278-6767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0191070 | Other | CA | BLUE CROSS/BLUE SHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050214000869 | CA | Practitioner - Chiropractic | 8921050337 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4464 McGrath St
Suite 105
Ventura, CA 93003-7764
Phone (805) 278-6767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC19107 | CA | MD | Chiropractor |
| 19107 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1912005448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 MCGRATH ST STE 105",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037764",
"telephone_number": "805-278-6767",
"fax_number": "805-278-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4464 MCGRATH ST STE 105",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037764",
"telephone_number": "805-278-6767",
"fax_number": "805-278-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERSON",
"first_name": "DAVID",
"middle_name": "DONALD",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC19107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD #",
"identifier": "DC0191070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.