Organization Active NPI

Missakian Chiropractic, Inc.

Doing business as Missakian Spine Care Center

  • Chiropractor
  • Porterville, CA
National Provider Identifier
1215212535
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29768 Issued in CA
Legal business name
MISSAKIAN CHIROPRACTIC, INC.
Practice address
83 N Main St
Porterville, CA 93257-3711
Phone
(559) 781-3033
Fax
(559) 781-3073
NPI assigned
Oct 18, 2011
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Dr. Massey W Missakian, D.C.NPI 1568661858
Title
Owner / Ceo
Phone
(559) 781-3033

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 DC29768 CA Primary

Addresses

Primary practice location

83 N Main St
Porterville, CA 93257-3711

Mailing address

83 N Main St
Porterville, CA 93257-3711
Phone (559) 781-3033

Other identifiers 1

IdentifierTypeStateIssuer
DM696AOtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • Missakian Spine Care Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000284 CA Part B Supplier - Clinic/Group Practice 4082887914 Receives reassigned benefits from 4 practitioners
Practice locations: Porterville, CA

National Provider Directory

National Provider Directory

Locations

83 N Main St
Porterville, CA 93257
Phone (559) 781-3033

Practitioners & affiliated clinicians

Practitioners 5

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": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1215212535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 N MAIN ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573711",
            "telephone_number": "559-781-3033",
            "fax_number": "559-781-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 N MAIN ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573711",
            "telephone_number": "559-781-3033",
            "fax_number": "559-781-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSAKIAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MISSAKIAN",
        "authorized_official_first_name": "MASSEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "559-781-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "DM696A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missakian Spine Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missakian Spine Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.

Verify at the official NPI Registry.