Mouroux Family Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31651 Issued in CA

Legal business name

MOUROUX FAMILY CHIROPRACTIC INC.

Doing business as

Mouroux Chiropractic

Practice address

1888 Saratoga Ave
Suite # 101
San Jose, CA 95129-5214

Phone

(408) 379-8888

Fax

(408) 379-8833

NPI assigned

Nov 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Gene Mouroux, D.C.NPI 1457667693

Title

President / Ceo

Phone

(408) 379-8888

Specialties & licenses 1

Addresses

Other names 1

• Mouroux Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Bradley Gene Mouroux, D.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1457667693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1013450584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 SARATOGA AVE",
            "address_2": "SUITE # 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295214",
            "telephone_number": "408-379-8888",
            "fax_number": "408-379-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 SARATOGA AVE",
            "address_2": "SUITE # 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295214",
            "telephone_number": "408-379-8888",
            "fax_number": "408-379-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUROUX FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "MOUROUX",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "408-379-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mouroux Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Mouri Management Group Incorporated (Shinrai Homes)
• Bradley Gene Mouroux, D.C.
• Ghaidaa Mousabacha
• Nadra F Mousharrafie, RPH
• Mohammad H. Moussavian, MD
• Peter G Mouttapa, MSW

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.