Organization Active NPI

Superstition Chiropractic Center PLLC

  • Chiropractor
  • Gold Canyon, AZ
National Provider Identifier
1043474646
Registry record updated Jul 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUPERSTITION CHIROPRACTIC CENTER PLLC
Practice address
5341 S Superstition Mountain Dr Ste D101
Gold Canyon, AZ 85218-2069
Phone
(480) 963-2772
Fax
(480) 248-6679
NPI assigned
Jul 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2008

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

Authorized official

Name
Dr. Ryan W Wade, DC
Title
President
Phone
(480) 963-2772

Specialties & licenses 1

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

Addresses

Primary practice location

5341 S Superstition Mountain Dr Ste D101
Gold Canyon, AZ 85218-2069

Mailing address

1880 S Alma School Rd Ste 1
Chandler, AZ 85286-7074
Phone (480) 963-2772

National Provider Directory

National Provider Directory

Locations

5341 S Superstition Mountain Dr
#D
Gold Canyon, AZ 85118

Practitioners & affiliated clinicians

Practitioners 1

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": "1215820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215820800000",
    "number": "1043474646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867074",
            "telephone_number": "480-963-2772",
            "fax_number": "480-248-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 S SUPERSTITION MOUNTAIN DR STE D101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852182069",
            "telephone_number": "480-963-2772",
            "fax_number": "480-248-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTITION CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-963-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; 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.