Organization Active NPI

North Phoenix Wellness Way LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1174304521
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTH PHOENIX WELLNESS WAY LLC
Practice address
34406 N 27TH Dr Ste 139
Phoenix, AZ 85085-7733
Phone
(623) 440-8491
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Patrick Michael Flynn, DCNPI 1366477341
Title
Owner
Phone
(920) 429-2844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

34406 N 27TH Dr Ste 139
Phoenix, AZ 85085-7733

Mailing address

34406 N 27TH Dr Ste 139
Phoenix, AZ 85085-7733
Phone (623) 440-8491

National Provider Directory

National Provider Directory

Locations

34406 N 27th Dr
Ste 139
Phoenix, AZ 85085
Phone (623) 440-8491

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1174304521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 139",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857733",
            "telephone_number": "623-440-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 139",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857733",
            "telephone_number": "623-440-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHOENIX WELLNESS WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-429-2844",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Oct 11, 2023; 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.