Dr. John Bueler Jr Chiropractic Prof Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 17037 Issued in CA

Legal business name

DR. JOHN BUELER JR CHIROPRACTIC PROF CORPORATION

Doing business as

Lake Gregory Chiropractic

Practice address

580 Forest Shade
Suite 4
Crestline, CA 92325-0989

Phone

(909) 338-6477

Fax

(909) 338-1639

NPI assigned

Mar 8, 2007

Last updated

Dec 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Bueler Jr., D.C.

Title

Chiropractor

Phone

(909) 338-6477

Specialties & licenses 1

Addresses

Other names 1

• Lake Gregory Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• John Bueler Jr., DC

  • Chiropractor
  • Crestline, CA
  • NPI 1619958147
  Medicare reassignment NPD
• Naeem Abuassaf

  • Acupuncturist
  • Crestline, CA
  • NPI 1154441061
  NPD (past)
• Mary Victoria Jetmore-Reichardt, MP

  • Massage Therapist
  • Crestline, CA
  • NPI 1548565476
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1467583963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923250989",
            "telephone_number": "909-338-6477",
            "fax_number": "909-338-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FOREST SHADE",
            "address_2": "SUITE 4",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923250989",
            "telephone_number": "909-338-6477",
            "fax_number": "909-338-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN BUELER JR CHIROPRACTIC PROF CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "BUELER JR.",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "909-338-6477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 17037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Gregory Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Colvin
• Raquel J Comstock
• Noreen Contreras
• Crest Forest Fire Protection District
• Jodi Lynn Dewhirst, LM
• Afiawan Ekpo
• Marcia Enos, CHT
• Bethany Evans
• Kevin Ewert, DDS
• Michael E Ewert, DDS

• Chiropractor in Crestline, CA
• Providers in Crestline, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.