Organization Active NPI

Chiropractic Life, L.L.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1124330154
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7950 Issued in AZ
Legal business name
CHIROPRACTIC LIFE, L.L.C.
Practice address
5150 N 16TH St
Suite C-162
Phoenix, AZ 85016-3925
Phone
(480) 822-8456
Fax
(866) 727-9116
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Mrs. Aubrey Eugena Backaric, D.C.
Title
Ceo
Phone
(480) 822-8456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 7950 AZ Primary

Addresses

Primary practice location

5150 N 16TH St
Suite C-162
Phoenix, AZ 85016-3925

Mailing address

5150 N 16TH St
Suite C-162
Phoenix, AZ 85016-3925
Phone (480) 822-8456

National Provider Directory

National Provider Directory

Locations

5150 N 16th St
Ste C162
Phoenix, AZ 85016
Phone (480) 822-8456

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1124330154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "SUITE C-162",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163925",
            "telephone_number": "480-822-8456",
            "fax_number": "866-727-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "SUITE C-162",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163925",
            "telephone_number": "480-822-8456",
            "fax_number": "866-727-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "BACKARIC",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "EUGENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-822-8456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7950",
            "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 Sep 27, 2011; 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.