Organization Active NPI

Pen Chiropractic PLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1205137445
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6022 Issued in AZ
Legal business name
PEN CHIROPRACTIC PLC
Practice address
2915 E Baseline Rd Ste 126
Gilbert, AZ 85234-2475
Phone
(480) 321-8843
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. William Jarman, D.C.
Title
Member
Phone
(480) 321-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6022 AZ Primary

Addresses

Primary practice location

2915 E Baseline Rd Ste 126
Gilbert, AZ 85234-2475

Mailing address

2915 E Baseline Rd Ste 126
Gilbert, AZ 85234-2475
Phone (480) 321-8843

Other identifiers 1

IdentifierTypeStateIssuer
1245414564OtherAZINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1205137445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E BASELINE RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342475",
            "telephone_number": "480-321-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E BASELINE RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342475",
            "telephone_number": "480-321-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEN CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "JARMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-321-8843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245414564",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.