NPIMap

Organization Active NPI

Duddey Chiropractic,Inc

  • Sports Physician Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1760928741
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC21949 Issued in CA
Legal business name
DUDDEY CHIROPRACTIC,INC
Practice address
6090 Warner Ave
Huntington Beach, CA 92647-5568
Phone
(714) 377-0078
Fax
(714) 377-0622
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Mr. Jonathan Aguilar
Title
Administration-Director
Phone
(714) 377-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC21949 CA Primary

Addresses

Primary practice location

6090 Warner Ave
Huntington Beach, CA 92647-5568

Mailing address

6090 Warner Ave
Huntington Beach, CA 92647-5568
Phone (714) 377-0078

Other names 1

  • SportsCare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Duddey Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6090 Warner Ave
Huntington Beach, CA 92647
Phone (714) 377-0078

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": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1760928741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475568",
            "telephone_number": "714-377-0078",
            "fax_number": "714-377-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475568",
            "telephone_number": "714-377-0078",
            "fax_number": "714-377-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDDEY CHIROPRACTIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATION-DIRECTOR",
        "authorized_official_telephone_number": "714-377-0078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC21949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportsCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.