NPIMap

Organization Active NPI

Wikoff Chiropractic, Inc.

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1578824025
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22211 Issued in CA
Legal business name
WIKOFF CHIROPRACTIC, INC.
Doing business as
Back to Life Family Chiropractic
Practice address
2431 N Tustin Ave Ste a
Santa Ana, CA 92705-1660
Phone
(714) 541-5433
Fax
(714) 541-5405
NPI assigned
May 31, 2012
Organization subpart
Yes
Parent organization
WIKOFF CHIROPRACTIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. Brian Howard Wikoff, D.C.NPI 1801811930
Title
Owner/President
Phone
(714) 541-5433

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 22211 CA Primary

Addresses

Primary practice location

2431 N Tustin Ave Ste a
Santa Ana, CA 92705-1660

Mailing address

2431 N Tustin Ave Ste a
Santa Ana, CA 92705-1660
Phone (714) 541-5433

Other names 1

  • Back to Life Family Chiropractic Doing business as

National Provider Directory

National Provider Directory
Part of
Wikoff Chiropractic Inc

Locations

2431 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 541-5433

Practitioners & affiliated clinicians

Practitioners 3

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": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1578824025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 N TUSTIN AVE STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051660",
            "telephone_number": "714-541-5433",
            "fax_number": "714-541-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 N TUSTIN AVE STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051660",
            "telephone_number": "714-541-5433",
            "fax_number": "714-541-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIKOFF CHIROPRACTIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIKOFF CHIROPRACTIC, INC.",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "WIKOFF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "17145415433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Life Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.