Abraxas Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4950 Issued in AZ

Legal business name

ABRAXAS CENTER, INC.

Practice address

291 S Willard St
Suite 104
Cottonwood, AZ 86326-4125

Phone

(928) 639-0144

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Gary Bruce Nadler, D.C.

Title

Pres/Ceo

Phone

(928) 639-0144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1073545174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S WILLARD ST",
            "address_2": "SUITE 104",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264125",
            "telephone_number": "928-639-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S WILLARD ST",
            "address_2": "SUITE 104",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264125",
            "telephone_number": "928-639-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAXAS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "928-639-0144",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.