100 Chiro Speterson LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIRO SPETERSON LLC

Practice address

20004 N 67TH Ave Ste 502
Glendale, AZ 85308-4623

Phone

(513) 544-0025

NPI assigned

Oct 2, 2024

Last updated

Nov 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Peterson

Title

Owner

Phone

(513) 544-0025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• John W Thuerck III, DC

  • Chiropractor
  • Goodyear, AZ
  • NPI 1346356896
  Medicare reassignment Care Compare group NPD
• Nicholas Reed Maassen, DC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1992362107
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1124846597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20004 N 67TH AVE STE 502",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20004 N 67TH AVE STE 502",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084623",
            "telephone_number": "513-544-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO SPETERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-544-0025"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.