Organization Active NPI

Back to Health of Vistancia

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1083590426
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK TO HEALTH OF VISTANCIA
Practice address
28421 N Vistancia Blvd Ste A101
Peoria, AZ 85383-2198
Phone
(602) 676-6306
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Luke Shillig, DONPI 1235838368
Title
Owner/Chiropractor
Phone
(623) 551-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

28421 N Vistancia Blvd Ste A101
Peoria, AZ 85383-2198

Mailing address

3051 W Sousa CT
Anthem, AZ 85086-1700
Phone (602) 676-6306

National Provider Directory

National Provider Directory

Locations

28421 N Vistancia Blvd
Ste A101
Peoria, AZ 85383
Phone (602) 676-6306

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1083590426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 W SOUSA CT",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861700",
            "telephone_number": "602-676-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28421 N VISTANCIA BLVD STE A101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832198",
            "telephone_number": "602-676-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH OF VISTANCIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "SHILLIG",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "623-551-6677",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Aug 12, 2025; 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.