Active NPI
Jennifer Waddell, D.C.
- Chiropractor
- Laguna Niguel, CA
National Provider Identifier
1871649228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19445
- Practice address
- 28281 Crown Valley Pkwy Ste 125
Laguna Niguel, CA 92677-1483 - Phone
- (949) 860-2400
- Fax
- (949) 860-2411
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- 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 | 19445 | CA | Primary |
Addresses
Primary practice location
28281 Crown Valley Pkwy Ste 125
Laguna Niguel, CA 92677-1483
Mailing address
28281 Crown Valley Pkwy Ste 125
Laguna Niguel, CA 92677-1483
Phone (949) 860-2400
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 |
|---|---|---|---|
| 19445 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waddell Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Laguna Niguel, CA
- NPI 1104141795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1871649228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28281 CROWN VALLEY PKWY STE 125",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771483",
"telephone_number": "949-860-2400",
"fax_number": "949-860-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28281 CROWN VALLEY PKWY STE 125",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771483",
"telephone_number": "949-860-2400",
"fax_number": "949-860-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.