Active NPI
Community Chiropractic Center
- Chiropractor
- Placentia, CA
National Provider Identifier
1821286352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COMMUNITY CHIROPRACTIC CENTER
- Practice address
- 1255 E Imperial Hwy
Placentia, CA 92870-1718 - Phone
- (714) 961-1200
- Fax
- (714) 961-1388
- NPI assigned
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacey Dee Ellison, D.C
- Title
- Owner
- Phone
- (714) 961-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1255 E Imperial Hwy
Placentia, CA 92870-1718
Mailing address
1255 E Imperial Hwy
Placentia, CA 92870-1718
Phone (714) 961-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1255 E Imperial Hwy
Placentia, CA 92870
Phone (714) 524-6990
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Placentia, CA
- NPI 1801923073
-
- Chiropractor
- Placentia, CA
- NPI 1467589630
-
- Chiropractor
- Placentia, CA
- NPI 1659401040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1821286352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 E IMPERIAL HWY",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928701718",
"telephone_number": "714-961-1200",
"fax_number": "714-961-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 E IMPERIAL HWY",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928701718",
"telephone_number": "714-961-1200",
"fax_number": "714-961-1388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-961-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.