Active NPI
Dr. Armen B. Agacanyan DC Chiropractic Corporation
- Chiropractor
- Morgan Hill, CA
National Provider Identifier
1740480615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29204
- Legal business name
- DR. ARMEN B. AGACANYAN DC CHIROPRACTIC CORPORATION
- Practice address
- 18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899 - Phone
- (408) 779-3565
- Fax
- (408) 779-9810
- NPI assigned
- Jul 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Armen Agacanyan, DC
- Title
- President
- Phone
- (408) 779-3565
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29204 | CA | Primary |
Addresses
Primary practice location
18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899
Mailing address
18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899
Phone (408) 779-3565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902850100 | Other | CA | NPI TYPE I |
Other names 1
- Active Spinal & Sports Care, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171130000487 | CA | Part B Supplier - Clinic/Group Practice | 3971860917 |
Receives reassigned benefits from 4 practitioners Practice locations: Morgan Hill, CA |
National Provider Directory
National Provider DirectoryLocations
88 W 2nd St
Morgan Hill, CA 95037
Phone (408) 500-2480
Practitioners & affiliated clinicians
Practitioners 4
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": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1740480615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18525 SUTTER BLVD STE 200",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950372899",
"telephone_number": "408-779-3565",
"fax_number": "408-779-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18525 SUTTER BLVD STE 200",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950372899",
"telephone_number": "408-779-3565",
"fax_number": "408-779-9810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ARMEN B. AGACANYAN DC CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2023-10-09",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "AGACANYAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-779-3565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE I",
"identifier": "1902850100",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Spinal & Sports Care, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.