Active NPI
Michael Bryan Andrews, D.C
- Sports Physician Chiropractor
- Rancho Cucamonga, CA
National Provider Identifier
1811224082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 29682
- Practice address
- 8325 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-3894 - Phone
- (909) 466-4590
- Fax
- (909) 466-4598
- NPI assigned
- Nov 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 29682 | CA | Primary |
Addresses
Primary practice location
8325 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-3894
Mailing address
8325 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-3894
Phone (909) 466-4590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29682 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Andrews | 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.
-
- Chiropractor
- Rancho Cucamonga, CA
- NPI 1043508609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1811224082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8325 HAVEN AVE STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303894",
"telephone_number": "909-466-4590",
"fax_number": "909-466-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 HAVEN AVE STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303894",
"telephone_number": "909-466-4590",
"fax_number": "909-466-4598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "MICHAEL",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "29682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.