Organization Active NPI

Lanier Chiropractic, Professional Corporation

  • Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1285185041
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33282 Issued in CA
Legal business name
LANIER CHIROPRACTIC, PROFESSIONAL CORPORATION
Practice address
23412 Moulton Pkwy
100
Laguna Hills, CA 92653-1732
Phone
(949) 770-6096
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Timothy David Lanier, D.C.NPI 1649384645
Title
Chiropractor
Phone
(214) 395-7851

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 33282 CA Primary

Addresses

Primary practice location

23412 Moulton Pkwy
100
Laguna Hills, CA 92653-1732

Mailing address

23412 Moulton Pkwy
Laguna Hills, CA 92653-1732
Phone (949) 770-6096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105000300 CA Part B Supplier - Clinic/Group Practice 9335420371 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

23412 Moulton Pkwy
Laguna Hills, CA 92653
Phone (714) 719-9497

Practitioners & affiliated clinicians

Practitioners 1

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1285185041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23412 MOULTON PKWY",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531732",
            "telephone_number": "949-770-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23412 MOULTON PKWY",
            "address_2": "100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531732",
            "telephone_number": "949-770-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER CHIROPRACTIC, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "214-395-7851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.