Active NPI
Tyler Bigenho, DC
- Chiropractor
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34563
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34563 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bigenho Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
| Lifespring Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Jordan Johnson Chiropractic Inc. | Chiropractor | Past | 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.
-
- Chiropractor
- Huntington Beach, CA
- NPI 1922174135
-
- Chiropractor
- Newport Beach, CA
- NPI 1518382894
-
- Chiropractor
- Newport Beach, CA
- NPI 1164557476
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.