Organization Active NPI

Body Mechanics Walsh Chiropractic and Sports Therapy Corp

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1689066904
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32523 Issued in CA
Legal business name
BODY MECHANICS WALSH CHIROPRACTIC AND SPORTS THERAPY CORP
Practice address
3151 Airway Ave
Suite K103
Costa Mesa, CA 92626-4607
Phone
(714) 540-1710
Fax
(714) 540-3191
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
William Michael Walsh, DCNPI 1548603160
Title
Owner
Phone
(714) 540-1710

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 DC32523 CA Primary

Addresses

Primary practice location

3151 Airway Ave
Suite K103
Costa Mesa, CA 92626-4607

Mailing address

3151 Airway Ave Ste K103
Costa Mesa, CA 92626-4613
Phone (714) 540-1710

Other identifiers 2

IdentifierTypeStateIssuer
CB208392OtherCAPTAN
DC32523OtherCALICENSE

Other names 1

  • Miller Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113000916 CA Part B Supplier - Clinic/Group Practice 2769479492 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Costa Mesa, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3151 Airway Ave
Ste K103
Costa Mesa, CA 92626
Phone (714) 540-1710

4342 Harrison Ave
Ste 1
Cincinnati, OH 45211
Phone (513) 574-1500

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1689066904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE K103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264613",
            "telephone_number": "714-540-1710",
            "fax_number": "714-540-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE",
            "address_2": "SUITE K103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264607",
            "telephone_number": "714-540-1710",
            "fax_number": "714-540-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MECHANICS WALSH CHIROPRACTIC AND SPORTS THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-540-1710",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CB208392",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC32523",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2025; 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.