Organization Active NPI

Huckaby Chiropractic, Corp

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1700924065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14946 Issued in CA
Legal business name
HUCKABY CHIROPRACTIC, CORP
Practice address
2040 N Tustin Ave
Suite B
Santa Ana, CA 92705-7827
Phone
(714) 953-5433
Fax
(714) 543-3868
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wayne E Huckaby, D.C.
Title
Chiropractor
Phone
(714) 953-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14946 CA Primary

Addresses

Primary practice location

2040 N Tustin Ave
Suite B
Santa Ana, CA 92705-7827

Mailing address

2040 N Tustin Ave
Suite B
Santa Ana, CA 92705-7827
Phone (714) 953-5433

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ11834ZOtherCABLUE SHIELD PROVIDER #

Other names 1

  • Tustin Chiropractic Offices Doing business as

National Provider Directory

National Provider Directory

Locations

2040 N Tustin Ave
Ste B
Santa Ana, CA 92705
Phone (714) 668-0629

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700924065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N TUSTIN AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057827",
            "telephone_number": "714-953-5433",
            "fax_number": "714-543-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N TUSTIN AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057827",
            "telephone_number": "714-953-5433",
            "fax_number": "714-543-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUCKABY CHIROPRACTIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUCKABY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "714-953-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ11834Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Chiropractic Offices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.