Organization Active NPI

Michael Shalhoub, D.C a Chiropractic Corp

Doing business as Mission Chiropractic Center

  • Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1477641561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15380 Issued in CA
Legal business name
MICHAEL SHALHOUB, D.C A CHIROPRACTIC CORP
Doing business as
Mission Chiropractic Center
Practice address
31105 Rancho Viejo Rd
Suite C9
San Juan Capistrano, CA 92675-1717
Phone
(949) 240-6196
Fax
(949) 240-9216
NPI assigned
Oct 11, 2006
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
Michael Shalhoub, D.C.
Title
Owner
Phone
(949) 240-6196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC15380 CA Primary

Addresses

Primary practice location

31105 Rancho Viejo Rd
Suite C9
San Juan Capistrano, CA 92675-1717

Mailing address

31105 Rancho Viejo Rd
Suite C9
San Juan Capistrano, CA 92675-1717
Phone (949) 240-6196

Other names 1

  • Mission Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

33161 Camino Capistrano
Ste H
San Juan Capo, CA 92675
Phone (949) 240-6196

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477641561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31105 RANCHO VIEJO RD",
            "address_2": "SUITE C9",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751717",
            "telephone_number": "949-240-6196",
            "fax_number": "949-240-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31105 RANCHO VIEJO RD",
            "address_2": "SUITE C9",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751717",
            "telephone_number": "949-240-6196",
            "fax_number": "949-240-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SHALHOUB, D.C A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHALHOUB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-240-6196",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, 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.