Individual provider Active NPI

George Nick Ujkic, DC

  • Chiropractor
  • Orange, CA
National Provider Identifier
1245307230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA20015DC Issued in CA
Practice address
630 S Glassell St
#102
Orange, CA 92866
Phone
(714) 639-3935
Fax
(714) 450-1029
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA20015DC CA Primary

Addresses

Primary practice location

630 S Glassell St
#102
Orange, CA 92866

Mailing address

630 S Glassell St
#102
Orange, CA 92866
Phone (714) 639-3935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000527 CA Practitioner - Chiropractic 2769377506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 S Glassell St
Suite 102
Orange, CA 92866-3089
Phone (714) 639-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA20015DCCAMDChiropractor
20015CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
George Ujkic Chiropractic Professional Corporation Chiropractor CurrentSince Oct 6, 2009 Accepting new patients

Locations

630 S Glassell St
Ste 102
Orange, CA 92866
Phone (714) 639-3935

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245307230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S GLASSELL ST",
            "address_2": "#102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "714-639-3935",
            "fax_number": "714-450-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S GLASSELL ST",
            "address_2": "#102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "714-639-3935",
            "fax_number": "714-450-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UJKIC",
        "first_name": "GEORGE",
        "middle_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA20015DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.