Organization Active NPI

Greg Ninberg Chiropractic Corporation

Doing business as Delta Chiropractic Clinic

  • Chiropractor
  • Lemon Grove, CA
National Provider Identifier
1679206528
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GREG NINBERG CHIROPRACTIC CORPORATION
Doing business as
Delta Chiropractic Clinic
Practice address
7103 Broadway
Lemon Grove, CA 91945-1436
Phone
(619) 668-0833
Fax
(619) 668-0686
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Mrs. Denise Soliz
Title
Office Manager
Phone
(619) 668-0833

Specialties & licenses 1

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

Addresses

Primary practice location

7103 Broadway
Lemon Grove, CA 91945-1436

Mailing address

7103 Broadway
Lemon Grove, CA 91945-1436
Phone (619) 668-0833

Other names 1

  • Delta 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
O20230103002800 CA Part B Supplier - Clinic/Group Practice 0042680282 Receives reassigned benefits from 1 practitioner
Practice locations: Lemon Grove, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1679206528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451436",
            "telephone_number": "619-668-0833",
            "fax_number": "619-668-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451436",
            "telephone_number": "619-668-0833",
            "fax_number": "619-668-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG NINBERG CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "SOLIZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-668-0833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.