Individual provider Active NPI

Hector Antonio Varela, D.C.

  • Rehabilitation Chiropractor
  • Peoria, AZ
National Provider Identifier
1063652501
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1046 Issued in AZ
Practice address
7558 W Thunderbird Rd
Suite 4B
Peoria, AZ 85381-6080
Phone
(623) 412-2241
Fax
(623) 412-2251
NPI assigned
Feb 24, 2009
Last updated
May 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1614 AZ
Rehabilitation Chiropractor 111NR0400X 1046 AZ Primary

Addresses

Primary practice location

7558 W Thunderbird Rd
Suite 4B
Peoria, AZ 85381-6080

Mailing address

7558 W Thunderbird Rd
Suite 4B
Peoria, AZ 85381-6080
Phone (623) 412-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1046AZMDRehabilitation Chiropractor
1614AZMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1063652501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 W THUNDERBIRD RD",
            "address_2": "SUITE 4B",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816080",
            "telephone_number": "623-412-2241",
            "fax_number": "623-412-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 W THUNDERBIRD RD",
            "address_2": "SUITE 4B",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816080",
            "telephone_number": "623-412-2241",
            "fax_number": "623-412-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "HECTOR",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1614",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.