NPIMap

Organization Active NPI

Grand Chiropractic Inc

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1962574186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23498 Issued in CA
Legal business name
GRAND CHIROPRACTIC INC
Practice address
630 S Grand Ave
Suite #105
Santa Ana, CA 92705-4164
Phone
(714) 835-0244
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harold S. Black, D.C.NPI 1619016490
Title
President
Phone
(714) 835-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC23498 CA Primary

Addresses

Primary practice location

630 S Grand Ave
Suite #105
Santa Ana, CA 92705-4164

Mailing address

PO Box 10729
Santa Ana, CA 92711-0729
Phone (714) 835-0244

National Provider Directory

National Provider Directory

Locations

630 S Grand Ave
Ste 105
Santa Ana, CA 92705
Phone (714) 835-0244

Practitioners & affiliated clinicians

Practitioners 2

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962574186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10729",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927110729",
            "telephone_number": "714-835-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S GRAND AVE",
            "address_2": "SUITE #105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054164",
            "telephone_number": "714-835-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-835-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.