Organization Active NPI

Neck and Back Pain Center Inc.

  • Chiropractor
  • Diamond Bar, CA
National Provider Identifier
1992128763
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22609 Issued in CA
Legal business name
NECK AND BACK PAIN CENTER INC.
Practice address
700 N Diamond Bar Blvd
Suite a
Diamond Bar, CA 91765-1060
Phone
(909) 861-1375
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
John Paul Burnham, D.C.NPI 1144421785
Title
Owner
Phone
(909) 861-1375

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 DC22609 CA Primary

Addresses

Primary practice location

700 N Diamond Bar Blvd
Suite a
Diamond Bar, CA 91765-1060

Mailing address

700 N Diamond Bar Blvd
Suite a
Diamond Bar, CA 91765-1060
Phone (909) 861-1375

National Provider Directory

National Provider Directory

Locations

700 N Diamond Bar Blvd
Ste A
Diamond Bar, CA 91765
Phone (909) 861-1375

Practitioners & affiliated clinicians

Practitioners 1

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1992128763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N DIAMOND BAR BLVD",
            "address_2": "SUITE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651060",
            "telephone_number": "909-861-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N DIAMOND BAR BLVD",
            "address_2": "SUITE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651060",
            "telephone_number": "909-861-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK AND BACK PAIN CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-861-1375",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.