NPIMap

Organization Active NPI

Judd Chiropractic, Inc.

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1306039714
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11458 Issued in CA
Legal business name
JUDD CHIROPRACTIC, INC.
Practice address
532 Redondo Ave
Long Beach, CA 90814-1552
Phone
(562) 439-0419
Fax
(562) 434-8894
NPI assigned
Aug 20, 2007
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Gregory L Judd, D.C.NPI 1710104443
Title
Doctor of Chiropractic
Phone
(562) 439-0419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC11458 CA Primary

Addresses

Primary practice location

532 Redondo Ave
Long Beach, CA 90814-1552

Mailing address

532 Redondo Ave
Long Beach, CA 90814-1552
Phone (562) 439-0419

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1306039714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141552",
            "telephone_number": "562-439-0419",
            "fax_number": "562-434-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141552",
            "telephone_number": "562-439-0419",
            "fax_number": "562-434-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDD CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "562-439-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.