Organization Active NPI

Fisher Chiropractic, Inc.

  • Rehabilitation Chiropractor
  • Irvine, CA
National Provider Identifier
1760509822
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC21320 Issued in CA
Legal business name
FISHER CHIROPRACTIC, INC.
Practice address
43 Corporate Park Ste 204
204
Irvine, CA 92606-5137
Phone
(714) 550-0788
Fax
(714) 550-6001
NPI assigned
Mar 23, 2007
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Jeff Allen Fisher, D.C.
Title
Owner
Phone
(714) 550-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC21320 CA Primary

Addresses

Primary practice location

43 Corporate Park Ste 204
204
Irvine, CA 92606-5137

Mailing address

43 Corporate Park Ste 204
Irvine, CA 92606-5137
Phone (714) 550-0788

Other identifiers 4

IdentifierTypeStateIssuer
1528089182OtherCAPT-28250
OT5117CAOtherCAOCCUPATIONAL THERAPIST
PT15475OtherCAPHYSICAL THERAPY LIC.
DC21320OtherCACHIROPRACTIC CORP.

National Provider Directory

National Provider Directory

Locations

3100 S Harbor Blvd
Ste 120
Santa Ana, CA 92704
Phone (714) 550-0788

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1760509822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK STE 204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "714-550-0788",
            "fax_number": "714-550-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK STE 204",
            "address_2": "204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "714-550-0788",
            "fax_number": "714-550-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-550-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC21320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT-28250",
            "identifier": "1528089182",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT5117CA",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LIC.",
            "identifier": "PT15475",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC CORP.",
            "identifier": "DC21320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.