Herson Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28895 Issued in CA

Legal business name

HERSON CHIROPRACTIC, INC.

Practice address

31781 Camino Capistrano Ste 303
San Juan Capistrano, CA 92675-3227

Phone

(949) 661-2511

Fax

(949) 661-2440

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Marc Herson, D.C.

Title

President/Chiropractor

Phone

(949) 661-2511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366479925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31781 CAMINO CAPISTRANO STE 303",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753227",
            "telephone_number": "949-661-2511",
            "fax_number": "949-661-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31781 CAMINO CAPISTRANO STE 303",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753227",
            "telephone_number": "949-661-2511",
            "fax_number": "949-661-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "949-661-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• 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.