Organization Active NPI

Heller Chiropractic, Inc.

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1366688467
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24405 Issued in CA
Legal business name
HELLER CHIROPRACTIC, INC.
Practice address
2900 Bristol St Ste C105
Costa Mesa, CA 92626-5944
Phone
(714) 557-9454
NPI assigned
Dec 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Authorized official

Name
Dr. Brian Gordon Heller, D.C.
Title
President
Phone
(714) 557-9454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24405 CA Primary

Addresses

Primary practice location

2900 Bristol St Ste C105
Costa Mesa, CA 92626-5944

Mailing address

2900 Bristol St Ste C105
Costa Mesa, CA 92626-5944
Phone (714) 557-9454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229731200000",
    "number": "1366688467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE C105",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265944",
            "telephone_number": "714-557-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE C105",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265944",
            "telephone_number": "714-557-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-20",
        "last_updated": "2008-12-20",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-557-9454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; 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.