Chiropractic Works, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC1019825 Issued in CA

Legal business name

CHIROPRACTIC WORKS, INC

Practice address

32475 Clinton Keith Rd
#108
Baltimore, CA 92595-8664

Phone

(951) 609-0399

Fax

(951) 609-0239

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lee J Hazen, DC

Title

Owner, Ceo

Phone

(951) 609-0399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013077155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32475 CLINTON KEITH RD",
            "address_2": "#108",
            "city": "BALTIMORE",
            "state": "CA",
            "postal_code": "925958664",
            "telephone_number": "951-609-0399",
            "fax_number": "951-609-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32475 CLINTON KEITH RD",
            "address_2": "#108",
            "city": "BALTIMORE",
            "state": "CA",
            "postal_code": "925958664",
            "telephone_number": "951-609-0399",
            "fax_number": "951-609-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "951-609-0399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC1019825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.