Individual provider Active NPI

Tyler Bigenho, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1841859261
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34563 Issued in CA
Practice address
4121 Westerly PL Ste 115
Newport Beach, CA 92660-2341
Phone
(714) 227-1125
Fax
(949) 209-0349
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34563 CA Primary

Addresses

Primary practice location

4121 Westerly PL Ste 115
Newport Beach, CA 92660-2341

Mailing address

9611 Clearbrook Dr
Huntington Beach, CA 92646-8020
Phone (714) 227-1125

Other practice location 1

9935 Yorktown Ave
Huntington Beach, CA 92646-2842
Phone (714) 962-8200

Other practice location 2

4030 Birch St Ste 107
Newport Beach, CA 92660-2291
Phone (949) 752-5533

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

LicenseStateTypeSpecialty
34563CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bigenho Chiropractic Corporation Chiropractor CurrentSince Jul 7, 2024 Accepting new patients
Lifespring Chiropractic Inc Chiropractor PastSince Jul 25, 2019 Accepting new patients
Jordan Johnson Chiropractic Inc. Chiropractor PastSince Jul 25, 2019 Accepting new patients
Huntington Health Center Chiropractor Past Accepting new patients

Locations

3 Corporate Park
Ste 165
Irvine, CA 92606
Phone (949) 207-7377

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1841859261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 CLEARBROOK DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468020",
            "telephone_number": "714-227-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 WESTERLY PL STE 115",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602341",
            "telephone_number": "714-227-1125",
            "fax_number": "949-209-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9935 Yorktown Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926462842",
            "country_code": "US",
            "telephone_number": "714-962-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4030 Birch St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602291",
            "country_code": "US",
            "telephone_number": "949-752-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGENHO",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34563",
            "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 Sep 22, 2020; 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.