John Richard Ennen, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC 25433 Issued in CA

Practice address

13420 Newport Ave
Ste.K
Tustin, CA 92780-3745

Phone

(714) 669-3105

Fax

(714) 669-3108

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598980344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "STE.K",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-669-3105",
            "fax_number": "714-669-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "STE.K",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-669-3105",
            "fax_number": "714-669-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNEN",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC 25433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embracing Journey
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• Enhance Health Group, LLC
• Enhanced Dermatology of Orange County
• Sean Ennis, PT, DPT
• Fareed Entezar
• Epinex Diagnostics Laboratories, Inc.
• Jeffrey G Erb, NMD
• Erkan Ereren, MD

• Nutrition Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.