Active NPI
Edward Hovey Nieman
- Chiropractor
- Colton, CA
National Provider Identifier
1518245208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19232
- Practice address
- 900 E Washington St Ste 100
Colton, CA 92324-4120 - Phone
- (909) 433-3200
- Fax
- (909) 424-0910
- NPI assigned
- Jul 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 19232 | CA | Primary |
Addresses
Primary practice location
900 E Washington St Ste 100
Colton, CA 92324-4120
Mailing address
900 E Washington St Ste 100
Colton, CA 92324-4120
Phone (909) 433-3200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19232 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1518245208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E WASHINGTON ST STE 100",
"city": "COLTON",
"state": "CA",
"postal_code": "923244120",
"telephone_number": "909-433-3200",
"fax_number": "909-424-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E WASHINGTON ST STE 100",
"city": "COLTON",
"state": "CA",
"postal_code": "923244120",
"telephone_number": "909-433-3200",
"fax_number": "909-424-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMAN",
"first_name": "EDWARD",
"middle_name": "HOVEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-28",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.