Active NPI
John Miceli Jr., D.C.
- Chiropractor
- La Habra, CA
National Provider Identifier
1649348251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29623
- Practice address
- 1521 W Whittier Blvd
La Habra, CA 90631-3616 - Phone
- (562) 690-7526
- Fax
- (562) 690-7527
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29623 | CA | Primary |
Addresses
Primary practice location
1521 W Whittier Blvd
La Habra, CA 90631-3616
Mailing address
1521 W. Whittier Blvd
La Habra, CA 90631
Phone (562) 690-7526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614001166 | CA | Practitioner - Chiropractic | 7012951676 | Practice locations: La Habra, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 S Beach Blvd J
La Habra, CA 90631-5141
Phone (562) 690-7526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29623 | CA | MD | Clinical Social Worker |
| DC29623 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649348251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 W. WHITTIER BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "90631",
"telephone_number": "562-690-7526",
"fax_number": "562-690-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 W WHITTIER BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313616",
"telephone_number": "562-690-7526",
"fax_number": "562-690-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICELI",
"first_name": "JOHN",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.