Fully Wired Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4277 Issued in AZ

Legal business name

FULLY WIRED INC

Doing business as

The Back Alley

Practice address

10515 N Oracle Rd
Suite 167
Oro Valley, AZ 85737-9377

Phone

(520) 877-2666

Fax

(520) 877-9183

NPI assigned

Dec 11, 2007

Last updated

Apr 9, 2012By 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

Dr. Darl Ross Shipley, D.C.

Title

Chiropractor

Phone

(520) 877-2666

Specialties & licenses 1

Addresses

Other names 1

• The Back Alley Doing business as

Practitioners 1

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.

• Donald K Shiflet, DC

  • Chiropractor
  • Oro Valley, AZ
  • NPI 1578623237
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1144403239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 N ORACLE RD",
            "address_2": "SUITE 167",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379377",
            "telephone_number": "520-877-2666",
            "fax_number": "520-877-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 N ORACLE RD",
            "address_2": "SUITE 167",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379377",
            "telephone_number": "520-877-2666",
            "fax_number": "520-877-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLY WIRED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "DARL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "520-877-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Back Alley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Emmert DDS PLLC (Dentistry in Oro Valley)
• Kimberly Ann Frazier, APRN, CRNA
• Jacquelyn Jeanne Freeman, D.D.S.
• Larissa E Freytag, D.M.D.
• David Jay Friedman, MD
• Patrycja Monika Furga-Ngako, FNP-C
• Omar Arif Gafur
• Mianna Gale, DNP, APRN, PMHNP-BC
• Evan Galipeau, DMD
• Seth Gary, DNP, CRNA

• Clinic/Center in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.