Enrique Cazares Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31355 Issued in CA

Practice address

13252 Garden Grove Blvd
Suite 112
Garden Grove, CA 92843-2204

Phone

(714) 740-1778

Fax

(714) 740-1913

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1639405343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13252 GARDEN GROVE BLVD",
            "address_2": "SUITE 112",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432204",
            "telephone_number": "714-740-1778",
            "fax_number": "714-740-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13252 GARDEN GROVE BLVD",
            "address_2": "SUITE 112",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432204",
            "telephone_number": "714-740-1778",
            "fax_number": "714-740-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZARES",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.