Individual provider Active NPI

Nicholas Brown, D.C.

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1891032348
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32472 Issued in CA
Practice address
6509 E Serrano Ave Ste a
Anaheim, CA 92807-5049
Phone
(714) 363-3821
Fax
(714) 363-3831
NPI assigned
Jan 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 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 32472 CA Primary

Addresses

Primary practice location

6509 E Serrano Ave Ste a
Anaheim, CA 92807-5049

Mailing address

6509 E Serrano Ave Ste a
Anaheim, CA 92807-5049
Phone (714) 363-3821

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Thriveocchiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624002194 CA Practitioner - Chiropractic 8820499171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6509 E Serrano Ave
Suite a
Anaheim, CA 92807-5049
Phone (714) 363-3821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32472CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas L. Brown Chiropractic, a Professional Corporation Chiropractor CurrentSince Feb 19, 2021 Accepting new patients
Laila Nayab DC Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

6509 E Serrano Ave
Ste A
Anaheim, CA 92807
Phone (714) 363-3821

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1891032348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 E SERRANO AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928075049",
            "telephone_number": "714-363-3821",
            "fax_number": "714-363-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 E SERRANO AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928075049",
            "telephone_number": "714-363-3821",
            "fax_number": "714-363-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Thriveocchiro.com",
            "affiliation": "N",
            "address_1": "6509 E Serrano Ave Ste A",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928075049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.