Dr. Harris - Mission Grove Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27441 Issued in CA

Legal business name

DR. HARRIS - MISSION GROVE CHIROPRACTIC, INC

Practice address

6670 Alessandro Blvd
Suite a
Riverside, CA 92506-5356

Phone

(951) 776-1693

Fax

(951) 776-1694

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ian Harris, D.C.

Title

Director

Phone

(951) 776-1693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1477901007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 ALESSANDRO BLVD",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065356",
            "telephone_number": "951-776-1693",
            "fax_number": "951-776-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 ALESSANDRO BLVD",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065356",
            "telephone_number": "951-776-1693",
            "fax_number": "951-776-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HARRIS - MISSION GROVE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-776-1693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.