Active NPI
Brittney Dawn Cicon, D.C.
- Chiropractor
- Lake Forest, CA
National Provider Identifier
1104084987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30511
- Practice address
- 22691 Lambert St
Suite 515
Lake Forest, CA 92630-1614 - Phone
- (949) 981-8170
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30511 | CA | Primary |
Addresses
Primary practice location
22691 Lambert St
Suite 515
Lake Forest, CA 92630-1614
Mailing address
22691 Lambert St
Suite 515
Lake Forest, CA 92630-1614
Phone (949) 981-8170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30511 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1104084987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22691 LAMBERT ST",
"address_2": "SUITE 515",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301614",
"telephone_number": "949-981-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22691 LAMBERT ST",
"address_2": "SUITE 515",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301614",
"telephone_number": "949-981-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICON",
"first_name": "BRITTNEY",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.