Individual provider Active NPI

Gregory Warren Middleton, D.C.

  • Chiropractor
  • La Mirada, CA
National Provider Identifier
1033256144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23913 Issued in CA
Practice address
15020 La Mirada Blvd
Suite G
La Mirada, CA 90638-4743
Phone
(714) 522-3511
Fax
(714) 522-2344
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23913 CA Primary

Addresses

Primary practice location

15020 La Mirada Blvd
Suite G
La Mirada, CA 90638-4743

Mailing address

15020 La Mirada Blvd
Suite G
La Mirada, CA 90638-4743
Phone (714) 522-3511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000542 CA Practitioner - Chiropractic 7517139157 Practice locations: La Mirada, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC23913CAMDChiropractor
23913CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Spine and Joint Center Inc Current Accepting new patients

Locations

15112 Rosecrans Ave
La Mirada, CA 90638
Phone (714) 522-2332

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033256144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 LA MIRADA BLVD",
            "address_2": "SUITE G",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384743",
            "telephone_number": "714-522-3511",
            "fax_number": "714-522-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15020 LA MIRADA BLVD",
            "address_2": "SUITE G",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384743",
            "telephone_number": "714-522-3511",
            "fax_number": "714-522-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "GREGORY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.