Organization Active NPI

George Ujkic Chiropractic Professional Corporation

Doing business as Chiropractic Center Of Orange

  • Chiropractor
  • Orange, CA
National Provider Identifier
1427382209
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20015 Issued in CA
Legal business name
GEORGE UJKIC CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
Chiropractic Center Of Orange
Practice address
630 S Glassell St
Suite 102
Orange, CA 92866-3004
Phone
(714) 639-3935
NPI assigned
Sep 25, 2009
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. George N. Ujkic, D.C.NPI 1245307230
Title
Owner
Phone
(714) 639-3935

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
Chiropractor 111N00000X DC20015 CA Primary

Addresses

Primary practice location

630 S Glassell St
Suite 102
Orange, CA 92866-3004

Mailing address

630 S Glassell St
Suite 102
Orange, CA 92866-3004
Phone (714) 639-3935

Other identifiers 1

IdentifierTypeStateIssuer
DC20015OtherCALICENSE

Other names 1

  • Chiropractic Center Of Orange Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091006000294 CA Part B Supplier - Clinic/Group Practice 9335285378 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

630 S Glassell St
Ste 102
Orange, CA 92866
Phone (714) 639-3935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1427382209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S GLASSELL ST",
            "address_2": "SUITE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663004",
            "telephone_number": "714-639-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S GLASSELL ST",
            "address_2": "SUITE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663004",
            "telephone_number": "714-639-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE UJKIC CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "UJKIC",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-639-3935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC20015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Center Of Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.