NPIMap

Organization Active NPI

Michael Andrews

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1043508609
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29682 Issued in CA
Legal business name
MICHAEL ANDREWS
Practice address
8325 Haven Ave
Suite 120
Rancho Cucamonga, CA 91730-3894
Phone
(909) 466-4590
Fax
(909) 466-4598
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mr. Michael Bryan Andrews, DCNPI 1811224082
Title
Owner
Phone
(909) 466-4590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 29682 CA Primary

Addresses

Primary practice location

8325 Haven Ave
Suite 120
Rancho Cucamonga, CA 91730-3894

Mailing address

8325 Haven Ave
Suite 120
Rancho Cucamonga, CA 91730-3894
Phone (909) 466-4590

Other identifiers 1

IdentifierTypeStateIssuer
DC029680OtherCABLUE SHIELD

Other names 1

  • Rancho Spine and Sport Doing business as

National Provider Directory

National Provider Directory

Locations

8325 Haven Ave
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 466-4590

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1043508609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 HAVEN AVE",
            "address_2": "SUITE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303894",
            "telephone_number": "909-466-4590",
            "fax_number": "909-466-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 HAVEN AVE",
            "address_2": "SUITE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303894",
            "telephone_number": "909-466-4590",
            "fax_number": "909-466-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ANDREWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-466-4590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC029680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.