Organization Active NPI

Mancuso Chiropractic Life Center

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1154572006
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5012 Issued in AZ
Legal business name
MANCUSO CHIROPRACTIC LIFE CENTER
Practice address
14700 N Frank Lloyd Wright Blvd
Suite 155
Scottsdale, AZ 85260-2046
Phone
(480) 767-1200
Fax
(480) 767-7587
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. David Anthony Mancuso, D.C.
Title
President
Phone
(480) 767-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC5012 AZ Primary

Addresses

Primary practice location

14700 N Frank Lloyd Wright Blvd
Suite 155
Scottsdale, AZ 85260-2046

Mailing address

14700 N Frank Lloyd Wright Blvd
Suite 155
Scottsdale, AZ 85260-2046
Phone (480) 767-1200

Other names 1

  • McDowell Mountain Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1154572006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602046",
            "telephone_number": "480-767-1200",
            "fax_number": "480-767-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602046",
            "telephone_number": "480-767-1200",
            "fax_number": "480-767-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCUSO CHIROPRACTIC LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-767-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDowell Mountain Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.