Wayne M Whalen D C a Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18999 Issued in CA

Legal business name

WAYNE M WHALEN D C A CHIROPRACTIC CORPORATION

Doing business as

Whalen Chiropractic

Practice address

9570 Cuyamaca St
Ste 101
Santee, CA 92071-2690

Phone

(619) 258-1144

Fax

(619) 258-6887

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Wayne Martin Whalen, DC

Title

President

Phone

(619) 258-1144

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Whalen Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Wayne W. Whalen, D.C.

  • Chiropractor
  • Santee, CA
  • NPI 1376573451
  Medicare reassignment
• Robinson R Langille, D.C.

  • Chiropractor
  • Santee, CA
  • NPI 1538283999
  NPD (past)
• Todd A. Polk, DC

  • Chiropractor
  • Santee, CA
  • NPI 1588696090
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1134127103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 CUYAMACA ST",
            "address_2": "STE 101",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712690",
            "telephone_number": "619-258-1144",
            "fax_number": "619-258-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 CUYAMACA ST",
            "address_2": "STE 101",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712690",
            "telephone_number": "619-258-1144",
            "fax_number": "619-258-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE M WHALEN D C A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-258-1144",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18999",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "18999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W19776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134127103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BD OF CHIROPRACTIC",
            "identifier": "DC18999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whalen Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Santee, CA
• Providers in Santee, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.