Nissen Chiropractic a P C

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

DC16780 Issued in CA

Legal business name

NISSEN CHIROPRACTIC A P C

Doing business as

Mojave Chiropractic center

Practice address

16916 State Highway 14
Mojave, CA 93501-1226

Phone

(661) 824-9732

Fax

(661) 824-1638

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Leray Nissen, D.C.NPI 1720018435

Title

Doctor

Phone

(661) 824-9732

Specialties & licenses 1

Addresses

Other names 1

• Mojave Chiropractic center Doing business as

Locations

Practitioners 2

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.

• Gerald Leray Nissen, D.C.

  • Radiography Radiologic Technologist
  • Mojave, CA
  • NPI 1720018435
  Authorized official Same address or phone
• Wayne Joseph Hodges, D.C.

  • Nutrition Chiropractor
  • Lancaster, CA
  • NPI 1033153044
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336227388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16916 STATE HIGHWAY 14",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011226",
            "telephone_number": "661-824-9732",
            "fax_number": "661-824-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16916 STATE HIGHWAY 14",
            "city": "MOJAVE",
            "state": "CA",
            "postal_code": "935011226",
            "telephone_number": "661-824-9732",
            "fax_number": "661-824-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSEN CHIROPRACTIC A P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NISSEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LERAY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "661-824-9732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "DC16780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mojave Chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Montoya
• Gradi Moore
• Barbara Jo Sena Munoz
• Crystal Patrese Nichols
• Karina Nilsson
• Gerald Leray Nissen, D.C.
• Nolia Medical Services PC
• Christina Machelle Patz, MA MFT
• Karina M Perez, PEER SUPPORT
• Harry Dean Perry II

• Radiology Chiropractor in Mojave, CA
• Providers in Mojave, CA by specialty
• Radiology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.