NPIMap

Organization Active NPI

Pierce-Reynolds Chiropractic Corp

  • Sports Physician Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1629369129
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
31605 Issued in CA
Legal business name
PIERCE-REYNOLDS CHIROPRACTIC CORP
Practice address
23541 Ridge Route Dr Ste C
Laguna Hills, CA 92653-1500
Phone
(949) 954-7577
Fax
(949) 382-1518
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Kevin Michael Pierce, DC
Title
Doctor of Chiropractic
Phone
(949) 954-7577

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 31605 CA
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 31321 CA
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 31605 CA Primary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 31321 CA

Addresses

Primary practice location

23541 Ridge Route Dr Ste C
Laguna Hills, CA 92653-1500

Mailing address

23541 Ridge Route Dr Ste C
Laguna Hills, CA 92653-1500

Other names 1

  • Paradigm Performance Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

23541 Ridge Route Dr
Ste C
Laguna Hills, CA 92653
Phone (949) 954-7577

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1629369129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23541 RIDGE ROUTE DR STE C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23541 RIDGE ROUTE DR STE C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531500",
            "telephone_number": "949-954-7577",
            "fax_number": "949-382-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE-REYNOLDS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "949-954-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31605",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31321",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "31605",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "31321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.