Pruss Chiropractic Corproation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33922 Issued in CA

Legal business name

PRUSS CHIROPRACTIC CORPROATION

Doing business as

Back Pain Center

Practice address

532 Redondo Ave
Long Beach, CA 90814-1552

Phone

(562) 439-0419

NPI assigned

Oct 1, 2017

Last updated

Oct 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Pruss, DC

Title

Owner

Phone

(248) 703-1139

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Back Pain Center Doing business as

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506816000000",
    "number": "1720598089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 SUMMERWOOD CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486608",
            "telephone_number": "248-703-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141552",
            "telephone_number": "562-439-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUSS CHIROPRACTIC CORPROATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-01",
        "last_updated": "2017-10-01",
        "status": "A",
        "authorized_official_last_name": "PRUSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-703-1139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "33922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackie A Provencher, AMFT
• Provia Psychology, Inc.
• Prudent Comfort Homes Inc
• Roshawon Latice Pruitt, AA, DSP I
• Kunthy Prum, MD
• Polar Prutaseranee, PHARMD
• Elizabeth Suzanne Prybyla, NP
• PS Ahuja Dental Corp (Fullersmiles Long Beach)
• Psych Lab Psychology, Inc. (Psych Lab)
• Psychatric Services, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2017; 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.