Organization Active NPI

Vanderschelden Momma Chiropractic PC

  • Pediatric Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1548745862
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
Legal business name
VANDERSCHELDEN MOMMA CHIROPRACTIC PC
Practice address
18600 Main St Ste 110
Huntington Beach, CA 92648-1715
Phone
(714) 794-2171
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Dr. Aimee Vanderschelden, DCNPI 1932507738
Title
Ceo
Phone
(714) 794-2171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X Primary

Addresses

Primary practice location

18600 Main St Ste 110
Huntington Beach, CA 92648-1715

Mailing address

18600 Main St Ste 110
Huntington Beach, CA 92648-1715
Phone (714) 794-2171

Other names 1

  • Momma's Chiro Doing business as

National Provider Directory

National Provider Directory

Locations

18600 Main St
Ste 110
Huntington Beach, CA 92648
Phone (714) 330-2437

Practitioners & affiliated clinicians

Practitioners 4

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": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1548745862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 MAIN ST STE 110",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481715",
            "telephone_number": "714-794-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 MAIN ST STE 110",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481715",
            "telephone_number": "714-794-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERSCHELDEN MOMMA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "VANDERSCHELDEN",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-794-2171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momma's Chiro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Momma's Chiro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.