Organization Active NPI

Foudy Chiropractic Inc

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1396090262
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOUDY CHIROPRACTIC INC
Practice address
28570 Marguerite Pkwy
Suite 111
Mission Viejo, CA 92692-3713
Phone
(949) 365-0403
Fax
(949) 365-0515
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Michael Foudy, D.C.NPI 1538272695
Title
Ceo
Phone
(949) 365-0403

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 1

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

Addresses

Primary practice location

28570 Marguerite Pkwy
Suite 111
Mission Viejo, CA 92692-3713

Mailing address

28570 Marguerite Pkwy
Suite 111
Mission Viejo, CA 92692-3713
Phone (949) 365-0403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120802000298 CA Part B Supplier - Clinic/Group Practice 4486800745 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

28892 Marguerite Pkwy
Ste 150
Mission Viejo, CA 92692
Phone (949) 365-0403

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1396090262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28570 MARGUERITE PKWY",
            "address_2": "SUITE 111",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923713",
            "telephone_number": "949-365-0403",
            "fax_number": "949-365-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28570 MARGUERITE PKWY",
            "address_2": "SUITE 111",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923713",
            "telephone_number": "949-365-0403",
            "fax_number": "949-365-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUDY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "FOUDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-365-0403",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.