Active NPI
Paul S Stately D C Inc
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1992013882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-24842
- Legal business name
- PAUL S STATELY D C INC
- Practice address
- 275 Victoria St
Suite 2C
Costa Mesa, CA 92627-1906 - Phone
- (949) 645-6325
- Fax
- (949) 645-6322
- NPI assigned
- Sep 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul S Stately, D.C.
- Title
- Owner
- Phone
- (949) 645-6325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-24842 | CA | Primary |
Addresses
Primary practice location
275 Victoria St
Suite 2C
Costa Mesa, CA 92627-1906
Mailing address
275 Victoria St
Suite 2C
Costa Mesa, CA 92627-1906
Phone (949) 645-6325
National Provider Directory
National Provider DirectoryLocations
275 Victoria St
Ste 2C
Costa Mesa, CA 92627
Phone (949) 645-6325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1275849317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284681600000",
"number": "1992013882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"address_2": "SUITE 2C",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271906",
"telephone_number": "949-645-6325",
"fax_number": "949-645-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"address_2": "SUITE 2C",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271906",
"telephone_number": "949-645-6325",
"fax_number": "949-645-6322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL S STATELY D C INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-17",
"status": "A",
"authorized_official_last_name": "STATELY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-645-6325",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-24842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.