Organization Active NPI

Mansour Chiropractic Group, Inc.

  • Chiropractor
  • Fountain Valley, CA
National Provider Identifier
1063945210
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MANSOUR CHIROPRACTIC GROUP, INC.
Practice address
17050 Bushard St Ste 205
Fountain Valley, CA 92708-2832
Phone
(714) 916-0954
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Rosa Dopp
Title
Office MGR
Phone
(714) 916-0954

Specialties & licenses 1

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

Addresses

Primary practice location

17050 Bushard St Ste 205
Fountain Valley, CA 92708-2832

Mailing address

17050 Bushard St Ste 205
Fountain Valley, CA 92708-2832
Phone (714) 916-0954

National Provider Directory

National Provider Directory
Tax ID family
Mansour Chiropractic Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1063945210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 BUSHARD ST STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082832",
            "telephone_number": "714-916-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 BUSHARD ST STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082832",
            "telephone_number": "714-916-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOUR CHIROPRACTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "DOPP",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "714-916-0954"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.