The Head, Neck, Back Pain Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0228350 Issued in CA

Legal business name

THE HEAD, NECK, BACK PAIN CENTER

Practice address

10529 Slater Ave
Fountain Valley, CA 92708-4841

Phone

(714) 965-9999

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Carey Clark

Title

Billing Representative

Phone

(760) 749-7414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982809646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 SLATER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084841",
            "telephone_number": "714-965-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10529 SLATER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084841",
            "telephone_number": "714-965-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEAD, NECK, BACK PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "760-749-7414"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0228350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tien Kieu Thai, MSW
• Kim Anh Thi Than
• Thanh-Van Ngoc Nguyen MD a Professional Medical Corporation
• Thao P Phung MD Inc
• The District Recovery Center
• The Health MD
• The Hill Medical Corporation
• The New Beginning Fellowship Center
• The New Beginning Fellowship Center
• The Ocd Treatment Center

• Chiropractor in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Chiropractor in California

• 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.