Organization Active NPI

Cornerstone Integrative Associates, LLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1235679598
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8053 Issued in AZ
Legal business name
CORNERSTONE INTEGRATIVE ASSOCIATES, LLC
Practice address
1337 S Gilbert Rd
Ste 105
Mesa, AZ 85204-6073
Phone
(480) 878-5480
Fax
(480) 584-4046
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Dr. Clay Warren, D.C.
Title
Chiropractic
Phone
(480) 365-9509

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 8053 AZ Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 7723 AZ

Addresses

Primary practice location

1337 S Gilbert Rd
Ste 105
Mesa, AZ 85204-6073

Mailing address

7227 E Baseline Rd
Ste 106
Mesa, AZ 85209-5005
Phone (480) 832-5777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1235679598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095005",
            "telephone_number": "480-832-5777",
            "fax_number": "480-584-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S GILBERT RD",
            "address_2": "STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046073",
            "telephone_number": "480-878-5480",
            "fax_number": "480-584-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE INTEGRATIVE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "480-365-9509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8053",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.