NPIMap

Organization Active NPI

Ladera Chiropractic and Wellness

  • Chiropractor
  • Ladera Ranch, CA
National Provider Identifier
1609006386
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LADERA CHIROPRACTIC AND WELLNESS
Practice address
1701 Corporate Dr
Suite C-5
Ladera Ranch, CA 92694-2125
Phone
(949) 429-8787
Fax
(949) 429-8077
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Jean-Pierre Khreich, D.C.NPI 1720100910
Title
Chiropractor/President
Phone
(714) 898-9631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1701 Corporate Dr
Suite C-5
Ladera Ranch, CA 92694-2125

Mailing address

1701 Corporate Dr
Suite C-5
Ladera Ranch, CA 92694-2125
Phone (949) 429-8787

National Provider Directory

National Provider Directory
Tax ID family
Ladera Chiropractic and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Corporate Dr
Ste C5
Ladera Ranch, CA 92694
Phone (949) 429-8787

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1609006386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CORPORATE DR",
            "address_2": "SUITE C-5",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942125",
            "telephone_number": "949-429-8787",
            "fax_number": "949-429-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORPORATE DR",
            "address_2": "SUITE C-5",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942125",
            "telephone_number": "949-429-8787",
            "fax_number": "949-429-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "KHREICH",
        "authorized_official_first_name": "JEAN-PIERRE",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "714-898-9631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.