NPIMap

Organization Active NPI

Stephen D. Iversen Chiropractic

Doing business as Back In Line Chiropractic Rehab Center

  • Rehabilitation Chiropractor
  • Orange, CA
National Provider Identifier
1215116033
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
19846 Issued in CA
Legal business name
STEPHEN D. IVERSEN CHIROPRACTIC
Doing business as
Back In Line Chiropractic Rehab Center
Practice address
2901 E Katella Ave
Suite H
Orange, CA 92867-5248
Phone
(714) 633-2225
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Dr. Stephen Dale Iversen, D.C.NPI 1245345925
Title
Owner/ Chiropractic Physician
Phone
(714) 633-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 19846 CA Primary

Addresses

Primary practice location

2901 E Katella Ave
Suite H
Orange, CA 92867-5248

Mailing address

2901 E Katella Ave
Suite H
Orange, CA 92867-5248
Phone (714) 633-2225

Other names 1

  • Back In Line Chiropractic Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

2901 E Katella Ave
Ste H
Orange, CA 92867
Phone (714) 633-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1215116033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E KATELLA AVE",
            "address_2": "SUITE H",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675248",
            "telephone_number": "714-633-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E KATELLA AVE",
            "address_2": "SUITE H",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675248",
            "telephone_number": "714-633-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. IVERSEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "IVERSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "714-633-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "19846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Line Chiropractic Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.