Organization Active NPI

Hengesteg Chiropractic Corporation

  • Chiropractor
  • Poway, CA
National Provider Identifier
1053574020
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25906 Issued in CA
Legal business name
HENGESTEG CHIROPRACTIC CORPORATION
Practice address
12439 Poway Rd
#A
Poway, CA 92064-4317
Phone
(858) 679-8179
Fax
(858) 679-3793
NPI assigned
Jul 9, 2008
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Chris Hengesteg, DC
Title
Owner/President
Phone
(858) 679-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25906 CA Primary

Addresses

Primary practice location

12439 Poway Rd
#A
Poway, CA 92064-4317

Mailing address

12439 Poway Rd
#A
Poway, CA 92064-4317
Phone (858) 679-8179

Other identifiers 1

IdentifierTypeStateIssuer
WDC25906AOtherCALEGACY #

National Provider Directory

National Provider Directory

Locations

12439 Poway Rd
Ste A
Poway, CA 92064
Phone (858) 679-8179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1053574020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12439 POWAY RD",
            "address_2": "#A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644317",
            "telephone_number": "858-679-8179",
            "fax_number": "858-679-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12439 POWAY RD",
            "address_2": "#A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644317",
            "telephone_number": "858-679-8179",
            "fax_number": "858-679-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENGESTEG CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "HENGESTEG",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-679-8179",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY #",
            "identifier": "WDC25906A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.