Organization Active NPI

Power Chiropractic, Inc.

  • Nutrition Chiropractor
  • Mesa, AZ
National Provider Identifier
1013033679
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
5851 Issued in AZ
Legal business name
POWER CHIROPRACTIC, INC.
Practice address
1347 N Greenfield Rd
Suite 101
Mesa, AZ 85205-4071
Phone
(480) 844-7900
Fax
(480) 699-4281
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Gerald Craig Godard, D.C.
Title
President
Phone
(480) 844-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 5851 AZ Primary

Addresses

Primary practice location

1347 N Greenfield Rd
Suite 101
Mesa, AZ 85205-4071

Mailing address

2812 N Norwalk
Suite 122
Mesa, AZ 85215-1148
Phone (480) 844-7900

National Provider Directory

National Provider Directory

Locations

2812 N Norwalk
Ste 122
Mesa, AZ 85215
Phone (480) 844-7900

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1013033679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 N NORWALK",
            "address_2": "SUITE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151148",
            "telephone_number": "480-844-7900",
            "fax_number": "480-699-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 N GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054071",
            "telephone_number": "480-844-7900",
            "fax_number": "480-699-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "GODARD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-844-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "5851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.