Active NPI
Superstition Chiropractic Center PLLC
- Chiropractor
- Gold Canyon, AZ
National Provider Identifier
1043474646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Gold Canyon, AZ
- NPI 1114110194
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.