Individual provider Active NPI

Janet Marie Judge, D.C.

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1205983566
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ4930 Issued in AZ
Practice address
1950 E Southern Ave
Suite 104
Tempe, AZ 85282-7523
Phone
(480) 730-6514
Fax
(480) 730-6524
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AZ4930 AZ Primary

Addresses

Primary practice location

1950 E Southern Ave
Suite 104
Tempe, AZ 85282-7523

Mailing address

2226 S Rural Rd
Suite 104
Tempe, AZ 85282-1411
Phone (480) 730-6514

Other identifiers 1

IdentifierTypeStateIssuer
AZ0241650OtherAZBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001153 AZ Practitioner - Chiropractic 3375515505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 N Hayden Rd
Suite 110
Scottsdale, AZ 85257-2363
Phone (480) 730-6514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ4930AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
J Judge Family Chiropractic PLLC Chiropractor CurrentSince Nov 30, 2011 Accepting new patients
Judge Family Chiropractic, Inc. Chiropractor PastSince Nov 29, 2004 Accepting new patients
W L Judge Chiropractic Center P C Chiropractor PastSince Mar 18, 2000 Accepting new patients

Locations

2401 N Hayden Rd
Ste 110
Scottsdale, AZ 85257
Phone (480) 730-6514

2226 S Rural Rd
Tempe, AZ 85282
Phone (480) 730-6514

2226 S Rural Rd
Ste 104
Tempe, AZ 85282

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1205983566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 S RURAL RD",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821411",
            "telephone_number": "480-730-6514",
            "fax_number": "480-966-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E SOUTHERN AVE",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827523",
            "telephone_number": "480-730-6514",
            "fax_number": "480-730-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ4930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0241650",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.