Michael L. Close Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26616 Issued in CA

Legal business name

MICHAEL L. CLOSE CHIROPRACTIC, INC.

Practice address

1042 N Fairfax Ave
W Hollywood, CA 90046-6103

Phone

(323) 656-4194

Fax

(323) 656-4151

NPI assigned

Apr 20, 2010

Last updated

Jul 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee Close, D.C.NPI 1821086612

Title

Owner

Phone

(323) 656-4194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael L Close, DC

  • Chiropractor
  • West Hollywood, CA
  • NPI 1821086612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1518283233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N FAIRFAX AVE",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466103",
            "telephone_number": "323-656-4194",
            "fax_number": "323-656-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 N FAIRFAX AVE",
            "city": "W HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466103",
            "telephone_number": "323-656-4194",
            "fax_number": "323-656-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. CLOSE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "CLOSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-656-4194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjeev Kumar, MD
• Julio Cesar La Torre, M.D.
• Jane Lipman, PT
• Berlyne Louisius
• Daniel Aaron Matatiaho, DDS
• Deep Mahesh Patel
• Judeth Melgar Puyat
• Shahed S Rahman, M.D.
• Lorilei Safran, MFT
• Marnie Nicole Shapiro, PH.D., BCBA-D

• Chiropractor in W Hollywood, CA
• Providers in W Hollywood, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.