Organization Active NPI

Cohen, Chen, Hanna Chiropractic and Acupuncture, Inc

Doing business as Revive Chiropractic and Acupuncture

  • Chiropractor
  • Covina, CA
National Provider Identifier
1518633494
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COHEN, CHEN, HANNA CHIROPRACTIC AND ACUPUNCTURE, INC
Doing business as
Revive Chiropractic and Acupuncture
Practice address
968 N Grand Ave
Covina, CA 91724-2045
Phone
(626) 838-3868
Fax
(714) 839-8145
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Dr. Jordan Bernard Cohen, DC
Title
Ceo
Phone
(626) 838-3868

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

968 N Grand Ave
Covina, CA 91724-2045

Mailing address

968 N Grand Ave
Covina, CA 91724-2045
Phone (626) 838-3868

Other names 1

  • Revive Chiropractic and Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

968 N Grand Ave
Covina, CA 91724
Phone (626) 671-7333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1518633494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242045",
            "telephone_number": "626-838-3868",
            "fax_number": "714-839-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242045",
            "telephone_number": "626-838-3868",
            "fax_number": "714-839-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN, CHEN, HANNA CHIROPRACTIC AND ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-838-3868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.