Organization Active NPI

Dr Michael Warner a Professional Chiropratic Corporation

  • Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1740484294
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 17906 Issued in CA
Legal business name
DR MICHAEL WARNER A PROFESSIONAL CHIROPRATIC CORPORATION
Practice address
23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1105
Phone
(818) 340-0834
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Michael Warner, D.C.NPI 1902974512
Title
Ceo
Phone
(818) 340-0834

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 DC 17906 CA Primary

Addresses

Primary practice location

23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1105

Mailing address

23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1105
Phone (818) 340-0834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070720000289 CA Part B Supplier - Clinic/Group Practice 8123129111 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

23161 Ventura Blvd
Ste 209
Woodland Hills, CA 91364
Phone (818) 340-0834

Practitioners & affiliated clinicians

Practitioners 2

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1740484294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23161 VENTURA BLVD",
            "address_2": "SUITE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641105",
            "telephone_number": "818-340-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 VENTURA BLVD",
            "address_2": "SUITE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641105",
            "telephone_number": "818-340-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL WARNER A PROFESSIONAL CHIROPRATIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-340-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 17906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.