NPIMap

Organization Active NPI

TLC Chiropractic Dr Kent Salholm Inc

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1548752785
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18626 Issued in CA
Legal business name
TLC CHIROPRACTIC DR KENT SALHOLM INC
Practice address
12460 Euclid St Ste 102
Garden Grove, CA 92840-3351
Phone
(714) 638-4852
Fax
(714) 638-4127
NPI assigned
Jun 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Dr. Kent Stuart Salholm, DCNPI 1356468532
Title
President
Phone
(714) 654-6937

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC18626 CA Primary

Addresses

Primary practice location

12460 Euclid St Ste 102
Garden Grove, CA 92840-3351

Mailing address

12460 Euclid St Ste 102
Garden Grove, CA 92840-3351
Phone (714) 638-4852

National Provider Directory

National Provider Directory

Locations

12460 Euclid St
Ste 102
Garden Grove, CA 92840
Phone (714) 638-4852

Practitioners & affiliated clinicians

Practitioners 5

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": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1548752785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 EUCLID ST STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403351",
            "telephone_number": "714-638-4852",
            "fax_number": "714-638-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 EUCLID ST STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403351",
            "telephone_number": "714-638-4852",
            "fax_number": "714-638-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC CHIROPRACTIC DR KENT SALHOLM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "SALHOLM",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-654-6937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.