NPIMap

Organization Active NPI

Tanaka Family Chiropractic

  • Chiropractor
  • Brea, CA
National Provider Identifier
1780709477
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29399 Issued in CA
Legal business name
TANAKA FAMILY CHIROPRACTIC
Doing business as
Natural Life Chiropractic
Practice address
616 S Brea Blvd
Brea, CA 92821-5307
Phone
(714) 256-2225
Fax
(714) 256-2220
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Carri L Tanaka, DC
Title
President
Phone
(714) 256-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC29399 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC29008 CA

Addresses

Primary practice location

616 S Brea Blvd
Brea, CA 92821-5307

Mailing address

616 S Brea Blvd
Brea, CA 92821-5307
Phone (714) 256-2225

Other names 1

  • Natural Life Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

616 S Brea Blvd
Brea, CA 92821
Phone (714) 256-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1780709477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215307",
            "telephone_number": "714-256-2225",
            "fax_number": "714-256-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215307",
            "telephone_number": "714-256-2225",
            "fax_number": "714-256-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANAKA FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "CARRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-256-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29399",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.