Individual provider Active NPI

Kamer Migirdichian, D.C.

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1265581292
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24509 Issued in CA
Practice address
4100 Birch St Ste 200
Newport Beach, CA 92660-2275
Phone
(949) 417-0420
Fax
(877) 631-2676
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24509 CA Primary
Sports Physician Chiropractor 111NS0005X DC24509 CA

Addresses

Primary practice location

4100 Birch St Ste 200
Newport Beach, CA 92660-2275

Mailing address

4100 Birch St Ste 200
Newport Beach, CA 92660-2275
Phone (949) 417-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC24509CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1265581292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602275",
            "telephone_number": "949-417-0420",
            "fax_number": "877-631-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602275",
            "telephone_number": "949-417-0420",
            "fax_number": "877-631-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGIRDICHIAN",
        "first_name": "KAMER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24509",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC24509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.