Organization Active NPI

Nexgen Chiropractic Inc

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1063848232
Registry record updated Jan 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30689 Issued in CA
Legal business name
NEXGEN CHIROPRACTIC INC
Practice address
12832 Garden Grove Blvd a
Garden Grove, CA 92843
Phone
(714) 467-0293
Fax
(714) 467-0298
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2014

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

Authorized official

Name
Kenny Dinhluu
Title
Manager
Phone
(714) 467-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 30689 CA Primary

Addresses

Primary practice location

12832 Garden Grove Blvd a
Garden Grove, CA 92843

Mailing address

12832 Garden Grove Blvd a
Garden Grove, CA 92843
Phone (714) 467-0293

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390003200000",
    "number": "1063848232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-467-0293",
            "fax_number": "714-467-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12832 GARDEN GROVE BLVD A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-467-0293",
            "fax_number": "714-467-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-01-18",
        "status": "A",
        "authorized_official_last_name": "DINHLUU",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-467-0293"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2014; 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.