Organization Active NPI

Lungren Chiropractic Center Inc

  • Chiropractor
  • Selma, CA
National Provider Identifier
1467638536
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27808 Issued in CA
Legal business name
LUNGREN CHIROPRACTIC CENTER INC
Doing business as
Chiropractic Center Inc Chiropractic Center
Practice address
1850 Floral Ave
Selma, CA 93662
Phone
(559) 896-3075
Fax
(559) 896-3077
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Mr. Mark P Lungren, DC
Title
President
Phone
(559) 896-3075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27808 CA Primary

Addresses

Primary practice location

1850 Floral Ave
Selma, CA 93662

Mailing address

1850 Floral Ave
Selma, CA 93662
Phone (559) 896-3075

Other identifiers 1

IdentifierTypeStateIssuer
DC0278080MedicaidCA

Other names 1

  • Chiropractic Center Inc Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1467638536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 FLORAL AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "93662",
            "telephone_number": "559-896-3075",
            "fax_number": "559-896-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 FLORAL AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "93662",
            "telephone_number": "559-896-3075",
            "fax_number": "559-896-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNGREN CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "LUNGREN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-896-3075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0278080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Center Inc Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.