Organization Active NPI

Hummel Chiropractic Center Professional Corp

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1427371699
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31061 Issued in CA
Legal business name
HUMMEL CHIROPRACTIC CENTER PROFESSIONAL CORP
Practice address
5055 N Harbor Dr Ste 100
San Diego, CA 92106-2302
Phone
(619) 523-9355
Fax
(619) 523-1544
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Ryan HummelNPI 1811913213
Title
President
Phone
(360) 739-3119

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 DC31061 CA Primary

Addresses

Primary practice location

5055 N Harbor Dr Ste 100
San Diego, CA 92106-2302

Mailing address

5055 N Harbor Dr Ste 100
San Diego, CA 92106-2302
Phone (619) 523-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000365 CA Part B Supplier - Clinic/Group Practice 6901941699 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

5055 N Harbor Dr
Ste 100
San Diego, CA 92106
Phone (619) 523-9355

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1427371699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 N HARBOR DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062302",
            "telephone_number": "619-523-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 N HARBOR DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062302",
            "telephone_number": "619-523-9355",
            "fax_number": "619-523-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMEL CHIROPRACTIC CENTER PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-739-3119"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.