Organization Active NPI

Mojave Chiropractic

  • Chiropractor
  • Victorville, CA
National Provider Identifier
1275913667
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33294 Issued in CA
Legal business name
MOJAVE CHIROPRACTIC
Practice address
15000 Seventh St
Suite 102
Victorville, CA 92395-3852
Phone
(760) 952-3800
Fax
(760) 245-9754
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Jordan Bernard Cohen, D.C.NPI 1730615618
Title
Chiropractor
Phone
(760) 952-3800

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 33294 CA Primary

Addresses

Primary practice location

15000 Seventh St
Suite 102
Victorville, CA 92395-3852

Mailing address

15000 Seventh St
Suite 102
Victorville, CA 92395-3852
Phone (760) 952-3800

Other names 1

  • Arrow Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

15000 Seventh St
Ste 102
Victorville, CA 92395
Phone (760) 952-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1275913667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SEVENTH ST",
            "address_2": "SUITE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953852",
            "telephone_number": "760-952-3800",
            "fax_number": "760-245-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 SEVENTH ST",
            "address_2": "SUITE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953852",
            "telephone_number": "760-952-3800",
            "fax_number": "760-245-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "760-952-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrow Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.