Organization Active NPI

Straw Chiropractic Corp

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1154629699
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24628 Issued in CA
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

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Philip A Straw, D.C.NPI 1104929371
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1104929371OtherCAINDIVIDUAL NPI
DC24628OtherCACHIROPRACTIC LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.