Organization Active NPI

Glendora Chiropractic Center

  • Chiropractor
  • Glendora, CA
National Provider Identifier
1558545889
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25410 Issued in CA
Legal business name
GLENDORA CHIROPRACTIC CENTER
Practice address
230 N Glendora Ave
Glendora, CA 91741-2617
Phone
(626) 914-5881
Fax
(951) 582-4895
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Mrs. Adena Padrnos
Title
Billing Manager
Phone
(951) 244-8029

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC25410 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC0205260 CA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC25459 CA

Addresses

Primary practice location

230 N Glendora Ave
Glendora, CA 91741-2617

Mailing address

230 N Glendora Ave
Glendora, CA 91741-2617
Phone (626) 914-5881

National Provider Directory

National Provider Directory

Locations

230 N Glendora Ave
Glendora, CA 91741
Phone (626) 329-3755

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1558545889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412617",
            "telephone_number": "626-914-5881",
            "fax_number": "951-582-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N GLENDORA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412617",
            "telephone_number": "626-914-5881",
            "fax_number": "951-582-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDORA CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "PADRNOS",
        "authorized_official_first_name": "ADENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "951-244-8029",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25410",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0205260",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.