Organization Active NPI

Micah Hamilton Chiropractic Inc.

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1124453410
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31333 Issued in CA
Legal business name
MICAH HAMILTON CHIROPRACTIC INC.
Practice address
23792 Rockfield Blvd
Suite 210
Lake Forest, CA 92630-2868
Phone
(949) 470-4757
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. Micah Stephen Hamilton, DCNPI 1235467051
Title
Ceo
Phone
(949) 228-9311

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC31333 CA Primary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC31333 CA

Addresses

Primary practice location

23792 Rockfield Blvd
Suite 210
Lake Forest, CA 92630-2868

Mailing address

23792 Rockfield Blvd
Suite 210
Lake Forest, CA 92630-2868
Phone (949) 470-4757

Other names 1

  • South OC Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114000458 CA Part B Supplier - Clinic/Group Practice 3173759545 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Locations

23792 Rockfield Blvd
Ste 210
Lake Forest, CA 92630
Phone (949) 470-4757

Practitioners & affiliated clinicians

Practitioners 4

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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1124453410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23792 ROCKFIELD BLVD",
            "address_2": "SUITE 210",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302868",
            "telephone_number": "949-470-4757",
            "fax_number": "949-470-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23792 ROCKFIELD BLVD",
            "address_2": "SUITE 210",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302868",
            "telephone_number": "949-470-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH HAMILTON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-228-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31333",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC31333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South OC Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2013; 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.