John M. Blucker, a Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13459 Issued in CA

Legal business name

JOHN M. BLUCKER, A CHIROPRACTIC CORPORATION

Doing business as

Cucamonga Chiropractic

Practice address

9211 Archibald Ave
Rancho Cucamonga, CA 91730-5207

Phone

(909) 980-4954

Fax

(909) 980-2455

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John M. Blucker, D.C.NPI 1972620789

Title

Doctor of Chiropractic

Phone

(909) 980-4954

Specialties & licenses 1

Addresses

Other names 1

• Cucamonga Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M. Blucker, DC

  • Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1972620789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1770858664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-980-4954",
            "fax_number": "909-980-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-980-4954",
            "fax_number": "909-980-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. BLUCKER, A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "BLUCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "909-980-4954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cucamonga Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tiana Johnson-Hunt
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• Christian Deion Johnson

• Chiropractor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.