Individual provider Active NPI

Andy Takagi, DC

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1437181658
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 28744 Issued in CA
Practice address
1506 Brookhollow Dr
Suite 114
Santa Ana, CA 92705-5405
Phone
(714) 957-0111
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 946 HI
Chiropractor 111N00000X DC 28744 CA Primary

Addresses

Primary practice location

1506 Brookhollow Dr
Suite 114
Santa Ana, CA 92705-5405

Mailing address

1506 Brookhollow Dr
Suite 114
Santa Ana, CA 92705-5405
Phone (714) 957-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 28744CAMDChiropractor
DC 946HIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1437181658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 BROOKHOLLOW DR",
            "address_2": "SUITE 114",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055405",
            "telephone_number": "714-957-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BROOKHOLLOW DR",
            "address_2": "SUITE 114",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055405",
            "telephone_number": "714-957-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAGI",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC 946",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.