Organization Active NPI

Brent L Bates Chiropractic Inc

Doing business as Beach Cities Chiropractic

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1417124884
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29117 Issued in CA
Legal business name
BRENT L BATES CHIROPRACTIC INC
Doing business as
Beach Cities Chiropractic
Practice address
1951 Artesia Blvd
Suite 108
Redondo Beach, CA 90278-2985
Phone
(310) 379-4720
Fax
(310) 379-4587
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Brent L Bates, DC
Title
Ceo
Phone
(310) 379-4720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29117 CA Primary

Addresses

Primary practice location

1951 Artesia Blvd
Suite 108
Redondo Beach, CA 90278-2985

Mailing address

1951 Artesia Blvd
Suite 108
Redondo Beach, CA 90278-2985
Phone (310) 379-4720

Other names 1

  • Beach Cities Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1951 Artesia Blvd
Ste 108
Redondo Beach, CA 90278
Phone (310) 379-4720

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1417124884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 ARTESIA BLVD",
            "address_2": "SUITE 108",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782985",
            "telephone_number": "310-379-4720",
            "fax_number": "310-379-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 ARTESIA BLVD",
            "address_2": "SUITE 108",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782985",
            "telephone_number": "310-379-4720",
            "fax_number": "310-379-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT L BATES CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-379-4720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Cities Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.