Organization Active NPI

Connor Upper Cervical Chiropractic of Southern California

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1063860591
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25423 Issued in CA
Legal business name
CONNOR UPPER CERVICAL CHIROPRACTIC OF SOUTHERN CALIFORNIA
Practice address
485 E 17TH St Ste 510
Costa Mesa, CA 92627-4719
Phone
(949) 642-5660
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Shannon Conor, D.C.
Title
Owner
Phone
(949) 642-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25423 CA Primary

Addresses

Primary practice location

485 E 17TH St Ste 510
Costa Mesa, CA 92627-4719

Mailing address

485 E 17TH St Ste 510
Costa Mesa, CA 92627-4719
Phone (949) 642-5660

National Provider Directory

National Provider Directory

Locations

485 E 17th St
Ste 510
Costa Mesa, CA 92627
Phone (949) 642-5660

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": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1063860591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E 17TH ST STE 510",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274719",
            "telephone_number": "949-642-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E 17TH ST STE 510",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274719",
            "telephone_number": "949-642-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOR UPPER CERVICAL CHIROPRACTIC OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "CONOR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-642-5660",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.