Organization Active NPI

Leading Edge Chiropractic, PC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1083746689
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEADING EDGE CHIROPRACTIC, PC
Practice address
5019 E Elliot Rd
Phoenix, AZ 85044-1714
Phone
(480) 893-2162
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Bart Gobeli
Title
President
Phone
(480) 893-2162

Specialties & licenses 1

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

Addresses

Primary practice location

5019 E Elliot Rd
Phoenix, AZ 85044-1714

Mailing address

5019 E Elliot Rd
Phoenix, AZ 85044-1714

National Provider Directory

National Provider Directory

Locations

5019 E Elliot Rd
Phoenix, AZ 85044
Phone (480) 893-2162

4821 E Elliot Rd
Phoenix, AZ 85044
Phone (480) 893-2162

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1083746689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 E ELLIOT RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 E ELLIOT RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441714",
            "telephone_number": "480-893-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "GOBELI",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-893-2162"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.