Organization Active NPI

Chiropractic Rehab and Neurology Inc.

  • Neurology Chiropractor
  • Phoenix, AZ
National Provider Identifier
1043594187
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
5518 Issued in AZ
Legal business name
CHIROPRACTIC REHAB AND NEUROLOGY INC.
Practice address
2525 W Carefree Hwy BLDG 1
Phoenix, AZ 85085-6093
Phone
(623) 587-0277
Fax
(623) 587-0270
NPI assigned
Oct 7, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Dr. Timothy Frank Matin, DC,DIBCN
Title
President
Phone
(623) 587-0277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 5518 AZ Primary

Addresses

Primary practice location

2525 W Carefree Hwy BLDG 1
Phoenix, AZ 85085-6093

Mailing address

2525 W Carefree Hwy BLDG 1
Phoenix, AZ 85085-6093
Phone (623) 587-0277

National Provider Directory

National Provider Directory
Tax ID family
Chiropractic Rehab and Neurology Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2525 W Carefree Hwy
Bldg 1
Phoenix, AZ 85085
Phone (623) 434-5748

Practitioners & affiliated clinicians

Practitioners 1

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": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1043594187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY BLDG 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-587-0277",
            "fax_number": "623-587-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY BLDG 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-587-0277",
            "fax_number": "623-587-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHAB AND NEUROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "MATIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-587-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,DIBCN"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "5518",
            "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 Oct 7, 2011; 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.