Prodius, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16989 Issued in CA

Legal business name

PRODIUS, INC.

Practice address

16561 Bolsa Chica St Ste 106
Huntington Beach, CA 92649-3574

Phone

(714) 377-4313

Fax

(844) 228-9778

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

John C ReardonNPI 1245350875

Title

Founder/President

Phone

(714) 867-7883

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Clarence Reardon II

  • Rehabilitation Chiropractor
  • Huntington Beach, CA
  • NPI 1245350875
  NPD (past) Authorized official

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1689029670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MAIN ST # 312",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485199",
            "telephone_number": "714-867-7883",
            "fax_number": "844-228-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16561 BOLSA CHICA ST STE 106",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493574",
            "telephone_number": "714-377-4313",
            "fax_number": "844-228-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "714-867-7883"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.