Organization Active NPI

Brian Wang Chiropractic Corporation

  • Chiropractor
  • Cupertino, CA
National Provider Identifier
1144715996
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34219 Issued in CA
Legal business name
BRIAN WANG CHIROPRACTIC CORPORATION
Practice address
21629 Stevens Creek Blvd
Cupertino, CA 95014-1169
Phone
(408) 320-1087
Fax
(669) 244-1199
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Dr. Brian Chen Wang, DC
Title
President
Phone
(408) 320-1087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34219 CA Primary

Addresses

Primary practice location

21629 Stevens Creek Blvd
Cupertino, CA 95014-1169

Mailing address

21629 Stevens Creek Blvd
Cupertino, CA 95014-1169
Phone (408) 320-1087

Other names 1

  • VITRUVIAN CHIRO & REHAB Doing business as

National Provider Directory

National Provider Directory

Locations

888 Saratoga Ave
Ste 200
San Jose, CA 95129
Phone (408) 320-1087

Practitioners & affiliated clinicians

Practitioners 2

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1144715996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21629 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141169",
            "telephone_number": "408-320-1087",
            "fax_number": "669-244-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21629 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141169",
            "telephone_number": "408-320-1087",
            "fax_number": "669-244-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN WANG CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-320-1087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITRUVIAN CHIRO & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.