Organization Active NPI

Grin Chiropractic Group Inc

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1336412873
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28105 Issued in CA
Legal business name
GRIN CHIROPRACTIC GROUP INC
Practice address
4902 Irvine Center Dr Ste 107
Irvine, CA 92604-3334
Phone
(949) 552-7033
Fax
(949) 552-7006
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Ms. Stephanie Kim
Title
Coder
Phone
(949) 552-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28105 CA Primary

Addresses

Primary practice location

4902 Irvine Center Dr Ste 107
Irvine, CA 92604-3334

Mailing address

4902 Irvine Center Dr Ste 107
Irvine, CA 92604-3334

National Provider Directory

National Provider Directory

Locations

4902 Irvine Center Dr
Ste 107
Irvine, CA 92604
Phone (949) 536-5110

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1336412873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 107",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 107",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-552-7033",
            "fax_number": "949-552-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIN CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CODER",
        "authorized_official_telephone_number": "949-552-7033",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.