Premier Chiropractic, a Rundle Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25269 Issued in CA

Legal business name

PREMIER CHIROPRACTIC, A RUNDLE CORPORATION

Practice address

25401 Cabot Rd Ste 112
Laguna Hills, CA 92653-5513

Phone

(949) 588-7011

Fax

(949) 588-7012

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Sean Scott Rundle, D.C.NPI 1326129537

Title

Owner

Phone

(949) 588-7011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Scott Rundle, D.C.

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1326129537
  Medicare reassignment NPD Authorized official
• Craig M Petersen, D.C.

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1760697262
  NPD
• Jerome Dizon Melad

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1043367238
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1013278068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 112",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-588-7011",
            "fax_number": "949-588-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 112",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-588-7011",
            "fax_number": "949-588-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC, A RUNDLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "RUNDLE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-588-7011",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Carolyn Powell, P.T., M.ED.
• Ledford Lee Powell, MD
• Elizabeth Prado
• Susan Pratt, MPT
• Prelude Corporation
• Premier Dental Implant Center
• Premier Healthcare Services, LLC
• Premier Imaging Solutions Socal LLC
• Premier Pharmacy Socal LLC
• Paul L. Prendiville, M.D.

• Chiropractor in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.