Skyler Blue Family Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

7067 Issued in AZ

Legal business name

SKYLER BLUE FAMILY CHIROPRACTIC LLC

Practice address

9550 W Van Buren St
Suite 10
Tolleson, AZ 85353-2827

Phone

(623) 907-0454

Fax

(623) 907-0493

NPI assigned

Jul 20, 2007

Last updated

Jul 20, 2007By 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. Debra Mazzola, DCNPI 1841407533

Title

Owner/DC

Phone

(623) 907-0454

Specialties & licenses 1

Addresses

Locations

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.

• Debra Mazzola, DC

  • Chiropractor
  • Tolleson, AZ
  • NPI 1841407533
  NPD (past) Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1174723886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 W VAN BUREN ST",
            "address_2": "SUITE 10",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532826",
            "telephone_number": "623-907-0454",
            "fax_number": "623-907-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 W VAN BUREN ST",
            "address_2": "SUITE 10",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532827",
            "telephone_number": "623-907-0454",
            "fax_number": "623-907-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLER BLUE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "MAZZOLA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "623-907-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith George Serrano, DDS
• Robin Kay Sharples-Ray, LM, CPM
• Shiva Shirvanifar
• Judy L Shively, LPN
• Aline Sibomana, LMSW
• Sneakaheadz LLC
• Speechy Keen Therapy LLC
• Sterling-S Haven
• Genesis Estrella Strouse
• Success Behavioral Group Home LLC

• Clinic/Center in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.