NPIMap

Organization Active NPI

Ganem Chiropractic Professional Corp

Doing business as Body Pro Chiropractic

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1457463796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24373 Issued in CA
Legal business name
GANEM CHIROPRACTIC PROFESSIONAL CORP
Doing business as
Body Pro Chiropractic
Practice address
4482 Barranca Prkwy
# 192
Irvine, CA 92604
Phone
(949) 552-5094
Fax
(949) 552-5096
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond Emile GanemNPI 1457490260
Title
President Chiropractor
Phone
(949) 552-5094

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 DC24373 CA Primary

Addresses

Primary practice location

4482 Barranca Prkwy
# 192
Irvine, CA 92604

Mailing address

4482 Barranca Prkwy
# 192
Irvine, CA 92604
Phone (949) 552-5094

Other names 1

  • Body Pro Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Body Pro Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4482 Barranca Pkwy
Ste 192
Irvine, CA 92604
Phone (949) 552-5051

Practitioners & affiliated clinicians

Practitioners 4

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457463796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PRKWY",
            "address_2": "# 192",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-552-5094",
            "fax_number": "949-552-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PRKWY",
            "address_2": "# 192",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-552-5094",
            "fax_number": "949-552-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANEM CHIROPRACTIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANEM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "EMILE",
        "authorized_official_title_or_position": "PRESIDENT CHIROPRACTOR",
        "authorized_official_telephone_number": "949-552-5094",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Pro Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.