Organization Active NPI

Bryant Chiropractic Corporation

  • Chiropractor
  • Placentia, CA
National Provider Identifier
1326470428
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30827 Issued in CA
Legal business name
BRYANT CHIROPRACTIC CORPORATION
Practice address
206 S Placentia Ave
Placentia, CA 92870-5710
Phone
(714) 572-9555
Fax
(714) 986-9600
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dr. Kurt Michael Bryant, DCNPI 1174793582
Title
President
Phone
(714) 572-9555

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 30827 CA Primary

Addresses

Primary practice location

206 S Placentia Ave
Placentia, CA 92870-5710

Mailing address

206 S Placentia Ave
Placentia, CA 92870-5710
Phone (714) 572-9555

Other practice location 1

3220 S Brea Canyon Rd
suite F
Diamond Bar, CA 91765-3481
Phone (909) 598-7868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131012000015 CA Part B Supplier - Clinic/Group Practice 3577797273 Receives reassigned benefits from 1 practitioner
Practice locations: Placentia, CA

National Provider Directory

National Provider Directory

Locations

3220 S Brea Canyon Rd
Ste F
Diamond Bar, CA 91765
Phone (909) 598-7868

206 S Placentia Ave
Placentia, CA 92870
Phone (714) 572-3834

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": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1326470428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705710",
            "telephone_number": "714-572-9555",
            "fax_number": "714-986-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705710",
            "telephone_number": "714-572-9555",
            "fax_number": "714-986-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 S Brea Canyon Rd",
            "address_2": "suite F",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917653481",
            "country_code": "US",
            "telephone_number": "909-598-7868",
            "fax_number": "909-598-4428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYANT CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-572-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.