Organization Active NPI

Chirorehab Inc

  • Rehabilitation Chiropractor
  • Newport Beach, CA
National Provider Identifier
1457666182
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
31139 Issued in CA
Legal business name
CHIROREHAB INC
Practice address
425 Old Newport Blvd
Suite D
Newport Beach, CA 92663-4250
Phone
(949) 631-6432
Fax
(949) 258-5858
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Damien Johann Burgess, DCNPI 1699917138
Title
Chiropractor/Owner
Phone
(949) 631-6432

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 31139 CA Primary

Addresses

Primary practice location

425 Old Newport Blvd
Suite D
Newport Beach, CA 92663-4250

Mailing address

425 Old Newport Blvd
Suite D
Newport Beach, CA 92663-4250
Phone (949) 631-6432

National Provider Directory

National Provider Directory

Locations

425 Old Newport Blvd
Ste D
Newport Beach, CA 92663
Phone (714) 642-4661

Practitioners & affiliated clinicians

Practitioners 1

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": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1457666182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OLD NEWPORT BLVD",
            "address_2": "SUITE D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634250",
            "telephone_number": "949-631-6432",
            "fax_number": "949-258-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD NEWPORT BLVD",
            "address_2": "SUITE D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634250",
            "telephone_number": "949-631-6432",
            "fax_number": "949-258-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROREHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_middle_name": "JOHANN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "949-631-6432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.