Waddell Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

19445 Issued in CA

Legal business name

WADDELL CHIROPRACTIC CORPORATION

Practice address

28281 Crown Valley Pkwy Ste 125
Laguna Niguel, CA 92677-1483

Phone

(949) 860-2400

Fax

(949) 860-2411

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jennfer Waddell, BA, DC

Title

Owner

Phone

(949) 860-2400

Specialties & licenses 2

Addresses

Other names 1

• Waddell Wellness & Performance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Waddell, D.C.

  • Chiropractor
  • Laguna Niguel, CA
  • NPI 1871649228
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1104141795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28281 CROWN VALLEY PKWY STE 125",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771483",
            "telephone_number": "949-860-2400",
            "fax_number": "949-860-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28281 CROWN VALLEY PKWY STE 125",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771483",
            "telephone_number": "949-860-2400",
            "fax_number": "949-860-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADDELL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "JENNFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-860-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19445",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waddell Wellness & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vrzal Chiropractic, Inc
• Scott J Vrzal, D.C
• Amy Thi Vu, O.D.
• Christie Vu
• Hannah Bich-Hien Vu
• Jennifer Waddell, D.C.
• Alexander Wade
• Mercedes Fajardo Wagner, PHARM.D.
• Richard Alan Wagner, PHARM.D.
• Vivien Wahlstrom

• Chiropractor in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.