Organization Active NPI

Integrated Health Centers of Arizona PLC

Doing business as Ahnen Chiropractic

  • Rehabilitation Chiropractor
  • Mesa, AZ
National Provider Identifier
1164775425
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5682 Issued in AZ
Legal business name
INTEGRATED HEALTH CENTERS OF ARIZONA PLC
Doing business as
Ahnen Chiropractic
Practice address
2058 S Dobson Rd
Suite 16
Mesa, AZ 85202-6454
Phone
(480) 755-7777
Fax
(480) 752-3281
NPI assigned
Oct 23, 2012
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Mrs. Julia E Raygoza
Title
Office Manager
Phone
(480) 755-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 5682 AZ Primary

Addresses

Primary practice location

2058 S Dobson Rd
Suite 16
Mesa, AZ 85202-6454

Mailing address

2058 S Dobson Rd
Suite 16
Mesa, AZ 85202-6454
Phone (480) 755-7777

Other names 1

  • Ahnen Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000619 AZ Part B Supplier - Clinic/Group Practice 6406093897 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

2058 S Dobson Rd
Ste 16
Mesa, AZ 85202
Phone (480) 755-7777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1164775425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "SUITE 16",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026454",
            "telephone_number": "480-755-7777",
            "fax_number": "480-752-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "SUITE 16",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026454",
            "telephone_number": "480-755-7777",
            "fax_number": "480-752-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CENTERS OF ARIZONA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "RAYGOZA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-755-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahnen Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.