Chironutricise, LLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4568 Issued in AZ

Legal business name

CHIRONUTRICISE, LLC.

Practice address

3842 E Thunderbird Rd
Suite 200
Phoenix, AZ 85032-5768

Phone

(602) 443-4423

Fax

(602) 765-1788

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Carl Hatlen, D.C.NPI 1538116256

Title

Owner

Phone

(602) 443-4423

Specialties & licenses 1

Addresses

Other names 1

• Hatlen Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Carl Hatlen, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1538116256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013948769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 E THUNDERBIRD RD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325768",
            "telephone_number": "602-443-4423",
            "fax_number": "602-765-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 E THUNDERBIRD RD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325768",
            "telephone_number": "602-443-4423",
            "fax_number": "602-765-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRONUTRICISE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATLEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-443-4423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hatlen Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Chiou
• Courtney Brianna Chipangama, LPN
• Priscilla Chiquete
• Nahla Chirco, FNP
• Chiro-Plus Chiropractic Center PC
• Chiropractic del Sol LLC
• Chiropractic Joint LLC
• Chiropractic Life, L.L.C.
• Chiropractic Rehab and Neurology Inc.
• Chiropractic Ventures LLC

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.