Active NPI
Brian Cripe
- Chiropractor
- Newport Beach, CA
National Provider Identifier
1700113826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31456
- Practice address
- 1501 Westcliff Dr
Suite 210
Newport Beach, CA 92660-5517 - Phone
- (949) 631-5171
- Fax
- (949) 631-6992
- NPI assigned
- Nov 10, 2009
- Last updated
- Nov 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31456 | CA | Primary |
Addresses
Primary practice location
1501 Westcliff Dr
Suite 210
Newport Beach, CA 92660-5517
Mailing address
1501 Westcliff Dr
Suite 210
Newport Beach, CA 92660-5517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140423001322 | CA | Practitioner - Chiropractic | 0244463446 | Practice locations: Newport Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31456 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1700113826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 WESTCLIFF DR",
"address_2": "SUITE 210",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 WESTCLIFF DR",
"address_2": "SUITE 210",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605517",
"telephone_number": "949-631-5171",
"fax_number": "949-631-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIPE",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.