Mountainside Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7077 Issued in AZ

Legal business name

MOUNTAINSIDE WELLNESS CENTER INC

Practice address

16515 S 40TH St Ste 129
Phoenix, AZ 85048-0560

Phone

(480) 940-7444

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Scott Mettham, D.C., P.T.NPI 1235227364

Title

Vice President

Phone

(480) 940-7444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

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

• John Scott Mettham, D.C., P.T.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1235227364
  Medicare reassignment Authorized official
• Keith Michael Smith, D.C.

  • Chiropractor
  • Tempe, AZ
  • NPI 1912963836
  NPD
• Matthew G Hooper, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1053358085
  NPD (past)
• Jeffrey Todd Winton, N.M.D.

  • Naturopath
  • Phoenix, AZ
  • NPI 1972804961
  NPD (past)
• Jennifer Renee Winton, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1255444055
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1053583450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 E CHANDLER BLVD STE 502",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480560",
            "telephone_number": "480-940-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "METTHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-940-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7077",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "3751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountainside Fitness Acquisitions, LLC
• Mountainside Fitness Acquisitions, LLC
• Mountainside Fitness Acquisitions, LLC
• Mountainside Fitness Acquisitions, LLC
• Mountainside Medical Clinic
• Mountaintop Behavioral Health Services LLC
• Mountzion Home Assisting Live Home
• Rawad Mounzer, M.D.
• Melanie Mourt, ND
• Maher Mousa, MD

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.