Active NPI
Grin Chiropractic Group Inc
- Chiropractor
- Irvine, CA
National Provider Identifier
1336412873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28105
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.