Organization Active NPI

Fowler Chiropractic PLLC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1043491301
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8221 Issued in AZ
Legal business name
FOWLER CHIROPRACTIC PLLC
Practice address
8245 N Silverbell Rd
Suite 159
Tucson, AZ 85743-7381
Phone
(520) 579-7906
Fax
(520) 579-7912
NPI assigned
Nov 15, 2007
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Monica L Fowler, D.C.NPI 1063473858
Title
Doctor of Chiropractic
Phone
(520) 579-7906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8221 AZ Primary

Addresses

Primary practice location

8245 N Silverbell Rd
Suite 159
Tucson, AZ 85743-7381

Mailing address

8245 N Silverbell Rd
Suite 159
Tucson, AZ 85743-7381
Phone (520) 579-7906

Other identifiers 2

IdentifierTypeStateIssuer
1063473858OtherSCTYPE 1
1043491301OtherSCTYPE 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000920 AZ Part B Supplier - Clinic/Group Practice 7113184300 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7455 W Twin Peaks Rd
Ste 111
Tucson, AZ 85743
Phone (520) 548-4852

8245 N Silverbell Rd
Ste 159
Tucson, AZ 85743
Phone (520) 257-5520

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1043491301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 N SILVERBELL RD",
            "address_2": "SUITE 159",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437381",
            "telephone_number": "520-579-7906",
            "fax_number": "520-579-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 N SILVERBELL RD",
            "address_2": "SUITE 159",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437381",
            "telephone_number": "520-579-7906",
            "fax_number": "520-579-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "520-579-7906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1063473858",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2",
            "identifier": "1043491301",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.