Organization Active NPI

Connor Upper Cervical Chiro of So Cal

  • Point of Service
  • Costa Mesa, CA
National Provider Identifier
1649662610
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
CONNOR UPPER CERVICAL CHIRO OF SO CAL
Practice address
485 E 17TH St
510
Costa Mesa, CA 92627-3265
Phone
(949) 642-5660
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Shannon Connor
Title
Owner
Phone
(949) 642-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

485 E 17TH St
510
Costa Mesa, CA 92627-3265

Mailing address

485 E 17TH St
510
Costa Mesa, CA 92627-3265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1649662610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E 17TH ST",
            "address_2": "510",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E 17TH ST",
            "address_2": "510",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273265",
            "telephone_number": "949-642-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOR UPPER CERVICAL CHIRO OF SO CAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-642-5660"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.