Active NPI
Edward A Madrid, DC
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1043385479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8560
- Practice address
- 18631 N 19TH Ave
Suite 152
Phoenix, AZ 85027-5299 - Phone
- (602) 789-1078
- Fax
- (623) 582-0997
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8560 | AZ | Primary |
Addresses
Primary practice location
18631 N 19TH Ave
Suite 152
Phoenix, AZ 85027-5299
Mailing address
18631 N 19TH Ave
Suite 152
Phoenix, AZ 85027-5299
Phone (602) 789-1078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8560 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward a. Madrid, DC, PC | Chiropractor | Current | Accepting new patients |
| Heart Mountain Chiropractic | Chiropractor | Past | Accepting new patients |
| Bronson Chiropractic Clinic P.C. | Chiropractor | Past | Accepting new patients |
| Heart Mountain Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
104 E 1st St
Laurel, MT 59044
Phone (406) 628-4622
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Chiropractor
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- Chiropractor
- Cody, WY
- NPI 1780811539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1043385479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18631 N 19TH AVE",
"address_2": "SUITE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275299",
"telephone_number": "602-789-1078",
"fax_number": "623-582-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18631 N 19TH AVE",
"address_2": "SUITE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275299",
"telephone_number": "602-789-1078",
"fax_number": "623-582-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "EDWARD",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.