Individual provider Active NPI

Jonathan Rudolph Noel, DC

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1124498993
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33395 Issued in CA
Practice address
23436 Madero Ste 120
Mission Viejo, CA 92691-2773
Phone
(510) 779-2691
NPI assigned
Oct 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33395 CA Primary

Addresses

Primary practice location

23436 Madero Ste 120
Mission Viejo, CA 92691-2773

Mailing address

25951 Corriente LN
Mission Viejo, CA 92691-4018
Phone (949) 633-9812

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

LicenseStateTypeSpecialty
33395CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Noel Chiropractic Inc. CurrentSince Jul 2, 2023 Accepting new patients
100 Chiropractic Chad Brandon Apc Chiropractor PastSince Dec 18, 2022 Accepting new patients

Locations

23436 Madero
Ste 120
Mission Viejo, CA 92691
Phone (510) 779-2691

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1124498993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25951 CORRIENTE LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914018",
            "telephone_number": "949-633-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23436 MADERO STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912773",
            "telephone_number": "510-779-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "JONATHAN",
        "middle_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.