Organization Active NPI

Southwest Pain Associates-Yuma, LLC

  • Chiropractor
  • Yuma, AZ
National Provider Identifier
1073773305
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6040 Issued in AZ
Legal business name
SOUTHWEST PAIN ASSOCIATES-YUMA, LLC
Practice address
11551 S Fortuna Rd
Suite C
Yuma, AZ 85367-7853
Phone
(928) 342-7220
Fax
(928) 342-7223
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Scott M. Norris, D.C.NPI 1174557433
Title
Managing Owner Member
Phone
(928) 342-7220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6040 AZ Primary

Addresses

Primary practice location

11551 S Fortuna Rd
Suite C
Yuma, AZ 85367-7853

Mailing address

11551 S Fortuna Rd
Suite C
Yuma, AZ 85367-7853
Phone (928) 342-7220

National Provider Directory

National Provider Directory

Locations

11551 S Fortuna Rd
Ste C
Yuma, AZ 85367
Phone (928) 342-7220

Practitioners & affiliated clinicians

Practitioners 3

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1073773305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 S FORTUNA RD",
            "address_2": "SUITE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677853",
            "telephone_number": "928-342-7220",
            "fax_number": "928-342-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 S FORTUNA RD",
            "address_2": "SUITE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677853",
            "telephone_number": "928-342-7220",
            "fax_number": "928-342-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PAIN ASSOCIATES-YUMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING OWNER MEMBER",
        "authorized_official_telephone_number": "928-342-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.