Active NPI
David Chang Chiropractic Inc
- Chiropractor
- Valencia, CA
National Provider Identifier
1174766174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30429
- Legal business name
- DAVID CHANG CHIROPRACTIC INC
- Practice address
- 23310 Cinema Dr
Suite #104
Valencia, CA 91355-1612 - Phone
- (661) 255-2516
- Fax
- (661) 255-2517
- NPI assigned
- Apr 7, 2009
- 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
- Dr. David B Chang, DC
- Title
- President
- Phone
- (661) 255-2516
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 | DC30429 | CA | Primary |
Addresses
Primary practice location
23310 Cinema Dr
Suite #104
Valencia, CA 91355-1612
Mailing address
23310 Cinema Dr
Suite #104
Valencia, CA 91355-1612
Phone (661) 255-2516
Other names 1
- Pure Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
23310 Cinema Dr
Ste 104
Valencia, CA 91355
Phone (661) 255-2516
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
- Valencia, CA
- NPI 1093858938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1174766174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23310 CINEMA DR",
"address_2": "SUITE #104",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551612",
"telephone_number": "661-255-2516",
"fax_number": "661-255-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23310 CINEMA DR",
"address_2": "SUITE #104",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551612",
"telephone_number": "661-255-2516",
"fax_number": "661-255-2517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID CHANG CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-07",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-255-2516",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pure Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.