Individual provider Active NPI

Jack Havran

  • Chiropractor
  • Artesia, CA
National Provider Identifier
1801810064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11202 Issued in CA
Practice address
18102 Pioneer Blvd
Suite 104
Artesia, CA 90701-3953
Phone
(562) 924-1695
Fax
(562) 860-1831
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11202 CA Primary

Addresses

Primary practice location

18102 Pioneer Blvd
Suite 104
Artesia, CA 90701-3953

Mailing address

18102 Pioneer Blvd
Suite 104
Artesia, CA 90701-3953
Phone (562) 924-1695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J. Curry a Professional Chiropractic Corp. Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801810064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "address_2": "SUITE 104",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-924-1695",
            "fax_number": "562-860-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "address_2": "SUITE 104",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013953",
            "telephone_number": "562-924-1695",
            "fax_number": "562-860-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRAN",
        "first_name": "JACK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.