Organization Active NPI

Brian M Wildemuth Chiropractic PC

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1073939864
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-26824 Issued in CA
Legal business name
BRIAN M WILDEMUTH CHIROPRACTIC PC
Practice address
26850 Sierra Hwy
Ste A14
Santa Clarita, CA 91321-2254
Phone
(661) 299-4913
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Brian M Wildemuth
Title
President
Phone
(661) 299-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-26824 CA Primary

Addresses

Primary practice location

26850 Sierra Hwy
Ste A14
Santa Clarita, CA 91321-2254

Mailing address

26850 Sierra Hwy
Ste A14
Santa Clarita, CA 91321
Phone (661) 299-4913

National Provider Directory

National Provider Directory

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": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1073939864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 SIERRA HWY",
            "address_2": "STE A14",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-299-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 SIERRA HWY",
            "address_2": "STE A14",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212254",
            "telephone_number": "661-299-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M WILDEMUTH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "WILDEMUTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-299-4913"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-26824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.