Organization Active NPI

Healing Havens, PLLC

  • Sports Physician Chiropractor
  • Phoenix, AZ
National Provider Identifier
1093839920
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
8052 Issued in AZ
Legal business name
HEALING HAVENS, PLLC
Practice address
5225 N 19TH Ave
Suite E
Phoenix, AZ 85015-2903
Phone
(602) 841-7576
NPI assigned
Mar 17, 2007
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Zaher Hajo, DC
Title
President
Phone
(602) 841-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 8052 AZ Primary

Addresses

Primary practice location

5225 N 19TH Ave
Suite E
Phoenix, AZ 85015-2903

Mailing address

5225 N 19TH Ave
Suite E
Phoenix, AZ 85015-2903
Phone (602) 841-7576

National Provider Directory

National Provider Directory

Locations

5225 N 19th Ave
Ste E
Phoenix, AZ 85015
Phone (602) 224-8444

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1093839920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N 19TH AVE",
            "address_2": "SUITE E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152903",
            "telephone_number": "602-841-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N 19TH AVE",
            "address_2": "SUITE E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152903",
            "telephone_number": "602-841-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HAVENS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "HAJO",
        "authorized_official_first_name": "ZAHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-841-7576",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "8052",
            "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 Jan 21, 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.