Organization Active NPI

Dunn Family Chiropractic Inc

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1043664519
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30680 Issued in CA
Legal business name
DUNN FAMILY CHIROPRACTIC INC
Practice address
4028 Long Beach Blvd
Suite 202
Long Beach, CA 90807-2697
Phone
(562) 981-0655
Fax
(562) 981-0407
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Myron Jamal Butts, D.CNPI 1972776961
Title
Doctor
Phone
(562) 981-0555

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 DC30680 CA Primary

Addresses

Primary practice location

4028 Long Beach Blvd
Suite 202
Long Beach, CA 90807-2697

Mailing address

4028 Long Beach Blvd
Suite 202
Long Beach, CA 90807-2697
Phone (562) 981-0655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214001615 CA Part B Supplier - Clinic/Group Practice 5890055750 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1043664519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 LONG BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072697",
            "telephone_number": "562-981-0655",
            "fax_number": "562-981-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 LONG BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072697",
            "telephone_number": "562-981-0655",
            "fax_number": "562-981-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-981-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.