Organization Active NPI

Shane Fishbein Chiropractic, Inc

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1992907711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27756 Issued in CA
Legal business name
SHANE FISHBEIN CHIROPRACTIC, INC
Practice address
25542 Jeronimo Rd Ste 3
Mission Viejo, CA 92691-2724
Phone
(949) 837-7463
NPI assigned
Jun 4, 2007
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
Shane Fishbein
Title
Owner
Phone
(949) 837-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27756 CA Primary

Addresses

Primary practice location

25542 Jeronimo Rd Ste 3
Mission Viejo, CA 92691-2724

Mailing address

25542 Jeronimo Rd Ste 3
Mission Viejo, CA 92691-2724

Other names 1

  • Core Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

25542 Jeronimo Rd
Ste 3
Mission Viejo, CA 92691
Phone (949) 457-0223

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992907711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25542 JERONIMO RD STE 3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25542 JERONIMO RD STE 3",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912724",
            "telephone_number": "949-837-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE FISHBEIN CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHBEIN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-837-7463"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, 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.