Dave R. Mull a Professional Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC16011 Issued in CA

Legal business name

DAVE R. MULL A PROFESSIONAL CHIROPRACTIC CORP

Practice address

2221 Palo Verde Ave # 1J-K
Long Beach, CA 90815-2364

Phone

(562) 795-7007

Fax

(562) 795-7009

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dave Mull, D.C.

Title

Doctor of Chiropractic

Phone

(562) 795-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1942381694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PALO VERDE AVE # 1J-K",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152364",
            "telephone_number": "562-795-7007",
            "fax_number": "562-795-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE R. MULL A PROFESSIONAL CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "562-795-7007",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0160110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.