Organization Active NPI

Shakib Chiropractic Inc.

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1952734246
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21503 Issued in CA
Legal business name
SHAKIB CHIROPRACTIC INC.
Practice address
15785 Laguna Canyon Rd
Suite 110
Irvine, CA 92618-3165
Phone
(949) 552-5535
Fax
(949) 552-3022
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Dr. Mamak Shakib, DC
Title
Ceo
Phone
(949) 552-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21503 CA Primary

Addresses

Primary practice location

15785 Laguna Canyon Rd
Suite 110
Irvine, CA 92618-3165

Mailing address

15785 Laguna Canyon Rd
Suite 110
Irvine, CA 92618-3165
Phone (949) 552-5535

National Provider Directory

National Provider Directory

Locations

15375 Barranca Pkwy
Bldg A
Irvine, CA 92618
Phone (949) 552-5535

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1952734246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-552-5535",
            "fax_number": "949-552-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD",
            "address_2": "SUITE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183165",
            "telephone_number": "949-552-5535",
            "fax_number": "949-552-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKIB CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "SHAKIB",
        "authorized_official_first_name": "MAMAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-552-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.