Individual provider Active NPI

Nicholas Bruce Oconnor, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1831584960
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33211 Issued in CA
Practice address
4700 Von Karman Ave Ste 1000
Newport Beach, CA 92660-2194
Phone
(949) 734-4454
Fax
(949) 209-2027
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC33211 CA Primary

Addresses

Primary practice location

4700 Von Karman Ave Ste 1000
Newport Beach, CA 92660-2194

Mailing address

4700 Von Karman Ave Ste 1000
Newport Beach, CA 92660-2194
Phone (949) 734-4454

Other practice location 1

999 N Tustin Ave
suite 201
Santa Ana, CA 92705-3528
Phone (714) 975-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816001606 CA Practitioner - Chiropractic 9537418041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Von Karman Ave
Suite 1000
Newport Beach, CA 92660-2194
Phone (949) 734-4454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC33211CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zaker Chiropractic Pain and Wellness Orange County Inc Chiropractor CurrentSince Feb 8, 2022 Accepting new patients
Zaker Chiropractic Corp Chiropractor CurrentSince Aug 26, 2018 Accepting new patients

Locations

4700 Von Karman Ave
Ste 1000
Newport Beach, CA 92660
Phone (949) 566-8688

29050 S Western Ave
Ste 152
Rch Palos Vrd, CA 90275
Phone (310) 519-8877

2583 Pacific Coast Hwy
Torrance, CA 90505
Phone (424) 235-1562

Organizations & group practices 2

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1831584960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 VON KARMAN AVE STE 1000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602194",
            "telephone_number": "949-734-4454",
            "fax_number": "949-209-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 VON KARMAN AVE STE 1000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602194",
            "telephone_number": "949-734-4454",
            "fax_number": "949-209-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 N Tustin Ave",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053528",
            "country_code": "US",
            "telephone_number": "714-975-7950",
            "fax_number": "714-975-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "NICHOLAS",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.