{
"Npi": {
"NPI": "1982563375",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "TRACY MEGUMI WHEELWRIGHT CHIROPRACTIC CORPORATION",
"ParentOrgTIN": null,
"OrgName": "TRACY MEGUMI WHEELWRIGHT CHIROPRACTIC CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16033 BOLSA CHICA ST STE 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTINGTON BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92649-2452",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "213-259-3044",
"MailingAddressFaxNumber": "714-908-7962",
"FirstLinePracticeLocationAddress": "16033 BOLSA CHICA ST STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUNTINGTON BEACH",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92649-2452",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "213-259-3044",
"PracticeLocationAddressFaxNumber": "714-908-7962",
"EnumerationDate": "01/20/2026",
"LastUpdateDate": "01/20/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHEELWRIGHT",
"AuthorizedOfficialFirstName": "TRACY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "213-259-3044",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}