NPIMap

Organization Active NPI

Redwine Chiropractic, PLC

  • Chiropractor
  • Casa Grande, AZ
National Provider Identifier
1255570503
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7718 Issued in AZ
Legal business name
REDWINE CHIROPRACTIC, PLC
Practice address
1923 N Trekell Rd
Casa Grande, AZ 85222-1706
Phone
(520) 836-3412
Fax
(520) 836-6507
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Jason D Redwine, DCNPI 1437357472
Title
Chiropractor
Phone
(520) 836-3412

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 7718 AZ Primary

Addresses

Primary practice location

1923 N Trekell Rd
Casa Grande, AZ 85222-1706

Mailing address

1923 N Trekell Rd
Casa Grande, AZ 85222-1706
Phone (520) 836-3412

Other names 1

  • Maguire Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1255570503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221706",
            "telephone_number": "520-836-3412",
            "fax_number": "520-836-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221706",
            "telephone_number": "520-836-3412",
            "fax_number": "520-836-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWINE CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "REDWINE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "520-836-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maguire Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.