Organization Active NPI

Desert Mountain Chiropractic Group LLC

  • Chiropractor
  • Queen Creek, AZ
National Provider Identifier
1235777384
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DESERT MOUNTAIN CHIROPRACTIC GROUP LLC
Practice address
21321 E Ocotillo Rd Ste 121
Queen Creek, AZ 85142-5994
Phone
(480) 987-9740
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Mark Riggs, DCNPI 1093045106
Title
Owner
Phone
(480) 987-9740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

21321 E Ocotillo Rd Ste 121
Queen Creek, AZ 85142-5994

Mailing address

21321 E Ocotillo Rd Ste 121
Queen Creek, AZ 85142-5994
Phone (480) 987-9740

Other names 1

  • Desert Mountain Medical and Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829000024 AZ Part B Supplier - Clinic/Group Practice 3375082720 Receives reassigned benefits from 1 practitioner
Practice locations: Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

21321 E Ocotillo Rd
Ste 121
Queen Creek, AZ 85142
Phone (480) 627-3688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1235777384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 121",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425994",
            "telephone_number": "480-987-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 121",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425994",
            "telephone_number": "480-987-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN CHIROPRACTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-987-9740",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Mountain Medical and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Mountain Medical and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.