East Thomas Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1048 Issued in AZ

Legal business name

EAST THOMAS CHIROPRACTIC CENTER PC

Practice address

1802 E Thomas Rd
Suite 16
Phoenix, AZ 85016-8134

Phone

(602) 265-6893

Fax

(602) 631-9362

NPI assigned

Aug 23, 2005

Last updated

Aug 22, 2020By 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

Gary Wayne Diekmann, DCNPI 1972781979

Title

Ceo

Phone

(602) 265-6893

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.

• Gary Wayne Diekmann, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1972781979
  Authorized official Same address or phone

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225021579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E THOMAS RD",
            "address_2": "SUITE 16",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168134",
            "telephone_number": "602-265-6893",
            "fax_number": "602-631-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E THOMAS RD",
            "address_2": "SUITE 16",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168134",
            "telephone_number": "602-265-6893",
            "fax_number": "602-631-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST THOMAS CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEKMANN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-265-6893",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.