Organization Active NPI

Kenneth Q Hoang DC a Chiropractic Corporation

  • Chiropractor
  • Aliso Viejo, CA
National Provider Identifier
1669060935
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENNETH Q HOANG DC A CHIROPRACTIC CORPORATION
Practice address
24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058
Phone
(949) 448-8599
Fax
(949) 448-8595
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Kenneth Hoang, DCNPI 1811283484
Title
President
Phone
(949) 448-8599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058

Mailing address

24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058
Phone (949) 448-8599

Other names 1

  • Grannis Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210226001434 CA Part B Supplier - Clinic/Group Practice 4284049131 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

24541 Pacific Park Dr
Ste 290
Aliso Viejo, CA 92656
Phone (949) 448-8599

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1669060935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 290",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563058",
            "telephone_number": "949-448-8599",
            "fax_number": "949-448-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 290",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563058",
            "telephone_number": "949-448-8599",
            "fax_number": "949-448-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH Q HOANG DC A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-448-8599",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grannis Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.