NPIMap

Organization Active NPI

Greathouse Chiropractic Inc

  • Chiropractor
  • San Clemente, CA
National Provider Identifier
1902959778
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28049 Issued in CA
Legal business name
GREATHOUSE CHIROPRACTIC INC
Practice address
130 Avenida Cabrillo
Ste C
San Clemente, CA 92672-5509
Phone
(949) 481-8282
Fax
(949) 218-6303
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Wayne Greathouse, DC
Title
Doctor
Phone
(949) 481-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 28049 CA Primary

Addresses

Primary practice location

130 Avenida Cabrillo
Ste C
San Clemente, CA 92672-5509

Mailing address

130 Avenida Cabrillo
Ste C
San Clemente, CA 92672-5509
Phone (949) 481-8282

Other names 1

  • Greathouse Chiropractic inc Other name

National Provider Directory

National Provider Directory

Locations

130 Avenida Cabrillo
Ste C
San Clemente, CA 92672
Phone (949) 481-8282

31461 Rancho Viejo Rd
Ste 103
San Juan Capo, CA 92675
Phone (949) 388-1432

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1902959778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVENIDA CABRILLO",
            "address_2": "STE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725509",
            "telephone_number": "949-481-8282",
            "fax_number": "949-218-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 AVENIDA CABRILLO",
            "address_2": "STE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725509",
            "telephone_number": "949-481-8282",
            "fax_number": "949-218-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATHOUSE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "GREATHOUSE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "949-481-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greathouse Chiropractic inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.