Active NPI
Roy Regan Withers, D.C.
- Chiropractor
- North Hollywood, CA
National Provider Identifier
1477995587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 25028
- Practice address
- 4418 Vineland Ave
Suite 218
North Hollywood, CA 91602-3457 - Phone
- (818) 275-2243
- Fax
- (818) 980-3221
- NPI assigned
- Jul 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 25028 | CA | Primary |
Addresses
Primary practice location
4418 Vineland Ave
Suite 218
North Hollywood, CA 91602-3457
Mailing address
4418 Vineland Ave
Suite 218
North Hollywood, CA 91602-3457
Phone (818) 275-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1477995587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4418 VINELAND AVE",
"address_2": "SUITE 218",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916023457",
"telephone_number": "818-275-2243",
"fax_number": "818-980-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4418 VINELAND AVE",
"address_2": "SUITE 218",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916023457",
"telephone_number": "818-275-2243",
"fax_number": "818-980-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERS",
"first_name": "ROY",
"middle_name": "REGAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "25028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.