Active NPI
Straw Chiropractic Corp
- Chiropractor
- Lake Forest, CA
National Provider Identifier
1154629699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24628
- Legal business name
- STRAW CHIROPRACTIC CORP
- Practice address
- 23101 Lake Center Dr Ste 101
Lake Forest, CA 92630-2898 - Phone
- (949) 297-3704
- NPI assigned
- Mar 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip A Straw, D.C.
- Title
- President/Owner
- Phone
- (949) 297-3704
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24628 | CA | Primary |
Addresses
Primary practice location
23101 Lake Center Dr Ste 101
Lake Forest, CA 92630-2898
Mailing address
15550 Rockfield Blvd Ste B220
Irvine, CA 92618-6703
Phone (949) 598-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104929371 | Other | CA | INDIVIDUAL NPI |
| DC24628 | Other | CA | CHIROPRACTIC LICENSE |
National Provider Directory
National Provider DirectoryLocations
23101 Lake Center Dr
Ste 101
Lake Forest, CA 92630
Phone (949) 297-3704
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lake Forest, CA
- NPI 1104929371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303689600000",
"number": "1154629699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD STE B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186703",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23101 LAKE CENTER DR STE 101",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302898",
"telephone_number": "949-297-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAW CHIROPRACTIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2011-04-25",
"status": "A",
"authorized_official_last_name": "STRAW",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "949-297-3704",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1104929371",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC24628",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.