Cactus Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4094 Issued in AZ

Legal business name

CACTUS CHIROPRACTIC LLC

Practice address

7440 W Cactus Rd
A19
Peoria, AZ 85381-9535

Phone

(623) 878-9388

Fax

(623) 878-9114

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Shelly Marie Elliott

Title

Office Manager

Phone

(623) 878-9388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1013097203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W CACTUS RD",
            "address_2": "A19",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853819535",
            "telephone_number": "623-878-9388",
            "fax_number": "623-878-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 W CACTUS RD",
            "address_2": "A19",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853819535",
            "telephone_number": "623-878-9388",
            "fax_number": "623-878-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-878-9388"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.