Combs Surprise Crossing, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4793 Issued in AZ

Legal business name

COMBS SURPRISE CROSSING, LLC

Practice address

13794 W Waddell Rd
Suite 205
Surprise, AZ 85379-8499

Phone

(623) 584-7756

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Roger E Combs, D.C.

Title

Owner/Operator

Phone

(623) 584-7756

Specialties & licenses 1

Addresses

Other names 1

• SURPRISE CROSSING CHIROPRACTIC Doing business as

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1225217110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13794 W WADDELL RD",
            "address_2": "SUITE 205",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798499",
            "telephone_number": "623-584-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13794 W WADDELL RD",
            "address_2": "SUITE 205",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798499",
            "telephone_number": "623-584-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBS SURPRISE CROSSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "623-584-7756",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURPRISE CROSSING CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.