Organization Active NPI

Egerer Chiropractic Inc

  • Chiropractor
  • Placentia, CA
National Provider Identifier
1114779147
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EGERER CHIROPRACTIC INC
Practice address
1525 N Placentia Ave Ste F
Placentia, CA 92870-2334
Phone
(714) 996-2356
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Justin M Egerer, DCNPI 1649293788
Title
Dr/Owner
Phone
(714) 996-2356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1525 N Placentia Ave Ste F
Placentia, CA 92870-2334

Mailing address

1525 N Placentia Ave Ste F
Placentia, CA 92870-2334
Phone (714) 996-2356

Other identifiers 1

IdentifierTypeStateIssuer
1649293788OtherNPPES

Other names 1

  • Wellness Within Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708002844 CA Part B Supplier - Clinic/Group Practice 9133664741 Receives reassigned benefits from 1 practitioner
Practice locations: Placentia, CA

National Provider Directory

National Provider Directory

Locations

1525 N Placentia Ave
Ste F
Placentia, CA 92870
Phone (714) 572-9555

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": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1114779147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N PLACENTIA AVE STE F",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702334",
            "telephone_number": "714-996-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N PLACENTIA AVE STE F",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702334",
            "telephone_number": "714-996-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGERER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "EGERER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "714-996-2356",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1649293788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Within Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.