Michael Nyholm-Jensen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

200003291 Issued in AZ

Practice address

6770 W Deer Valley Rd
B102
Glendale, AZ 85310-5957

Phone

(602) 694-7929

Fax

(623) 566-9764

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Arrowhead Lakes Chiropractic, Inc.

  • Chiropractor
  • Glendale, AZ
  • NPI 1770702904
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1245255173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 W. DEER VALLEY RD.",
            "address_2": "SUITE B102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105957",
            "telephone_number": "623-566-8975",
            "fax_number": "623-566-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 W DEER VALLEY RD",
            "address_2": "B102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105957",
            "telephone_number": "602-694-7929",
            "fax_number": "623-566-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYHOLM-JENSEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "200003291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerubo Happiness Nyachieo, PMHNP
• George Oseko Nyakundi, MSN,PMHNP-BC
• Dan Nydegger, D.D.S.
• Deric H Nye, D.O.
• Elisabetta G Nyholm-Jensen, D.C.
• Shane James Nylin, MD
• Jessica Nystrom, FNP-C
• Callie O'Connor, MS
• Christopher Stephen O'Donnell, PT
• Grace O'Leary, LCSW, MT-BC, CT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.