Individual provider Active NPI

David J. Serpa, D.C.

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1922121532
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24600 Issued in CA
Practice address
324 S Lexington Dr
Folsom, CA 95630-6801
Phone
(916) 984-1939
NPI assigned
Apr 9, 2007
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24600 CA Primary

Addresses

Primary practice location

324 S Lexington Dr
Folsom, CA 95630-6801

Mailing address

513 Natoma St
Folsom, CA 95630-2523
Phone (916) 984-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000076 CA Practitioner - Chiropractic 1658548029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serpa Chiropractic Inc.Group PAC ID 0446425805, 2 clinicians

Practice addresses (Care Compare)

513 Natoma St
Folsom, CA 95630-2523
Phone (916) 984-1939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24600CAMDPediatrics Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1922121532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302523",
            "telephone_number": "916-984-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S LEXINGTON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306801",
            "telephone_number": "916-984-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPA",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.

Verify at the official NPI Registry.