Active NPI
Michael Paul Brunner, DC
- Chiropractor
- Canoga Park, CA
National Provider Identifier
1841284825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27392
- Practice address
- 7044 Owensmouth Ave
Canoga Park, CA 91303-2005 - Phone
- (818) 712-0753
- Fax
- (818) 712-0723
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27392 | CA | Primary |
Addresses
Primary practice location
7044 Owensmouth Ave
Canoga Park, CA 91303-2005
Mailing address
7044 Owensmouth Ave
Canoga Park, CA 91303-2005
Phone (818) 712-0753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC27392 | Other | CA | BOARD OF CHIRO EXAMINERS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1841284825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7044 OWENSMOUTH AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032005",
"telephone_number": "818-712-0753",
"fax_number": "818-712-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7044 OWENSMOUTH AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032005",
"telephone_number": "818-712-0753",
"fax_number": "818-712-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNNER",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CHIRO EXAMINERS",
"identifier": "DC27392",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.