NPIMap

Organization Active NPI

Lander Chiropractic Inc

  • Chiropractor
  • Brea, CA
National Provider Identifier
1346627528
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31535 Issued in CA
Legal business name
LANDER CHIROPRACTIC INC
Practice address
1203 W Imperial Hwy
Suite 100
Brea, CA 92821-3741
Phone
(714) 626-0074
Fax
(714) 626-0079
NPI assigned
Apr 27, 2015
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Mr. James Edward Lander, D.C.NPI 1538409057
Title
Chiropractor
Phone
(714) 626-0074

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31401 CA
Chiropractor 111N00000X 31535 CA Primary

Addresses

Primary practice location

1203 W Imperial Hwy
Suite 100
Brea, CA 92821-3741

Mailing address

1203 W Imperial Hwy
Suite 100
Brea, CA 92821-3741
Phone (714) 626-0074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230105001739 CA Part B Supplier - Clinic/Group Practice 5193195238 Receives reassigned benefits from 2 practitioners
Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Locations

1203 W Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 626-0074

Practitioners & affiliated clinicians

Practitioners 5

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": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1346627528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213741",
            "telephone_number": "714-626-0074",
            "fax_number": "714-626-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213741",
            "telephone_number": "714-626-0074",
            "fax_number": "714-626-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "LANDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "714-626-0074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31401",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.