Organization Active NPI

Recovery Chiropractic

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1043445802
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7970 Issued in AZ
Legal business name
RECOVERY CHIROPRACTIC
Practice address
1530 S Val Vista Dr
Suite 106
Gilbert, AZ 85296-3859
Phone
(480) 664-6061
Fax
(480) 584-6336
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Ben Johnson, DC
Title
Owner
Phone
(480) 664-6061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7970 AZ Primary

Addresses

Primary practice location

1530 S Val Vista Dr
Suite 106
Gilbert, AZ 85296-3859

Mailing address

1530 S Val Vista Dr
Suite 106
Gilbert, AZ 85296-3859
Phone (480) 664-6061

Other identifiers 1

IdentifierTypeStateIssuer
7970OtherAZLICENSE

Other names 1

  • Desert Spinal Care Former legal business name

National Provider Directory

National Provider Directory

Locations

393 W Warner Rd
Ste 119
Chandler, AZ 85225
Phone (480) 963-4000

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1043445802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S VAL VISTA DR",
            "address_2": "SUITE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963859",
            "telephone_number": "480-664-6061",
            "fax_number": "480-584-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S VAL VISTA DR",
            "address_2": "SUITE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963859",
            "telephone_number": "480-664-6061",
            "fax_number": "480-584-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-664-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Spinal Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.