Desert Shadows Chiropractic & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8087 Issued in AZ

Legal business name

DESERT SHADOWS CHIROPRACTIC & WELLNESS

Practice address

4010 E Bell Rd
Suite #103
Phoenix, AZ 85032-2229

Phone

(602) 595-0015

Fax

(602) 595-0091

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Carlton Campo, DCNPI 1811218100

Title

Member

Phone

(602) 595-0015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Christopher Carlton Campo, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1811218100
  Medicare reassignment NPD Authorized official
• Kurt G. Von Rice, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1649337544
  NPD (past)

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1255652533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 E BELL RD",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322229",
            "telephone_number": "602-595-0015",
            "fax_number": "602-595-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 E BELL RD",
            "address_2": "SUITE #103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322229",
            "telephone_number": "602-595-0015",
            "fax_number": "602-595-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SHADOWS CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-595-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Sage III
• Desert Sage Nutrition Center
• Desert Sand Wellness LLC
• Desert Sands Management, Inc
• Desert Sands Medical Group
• Desert Shores Dentistry, PLLC
• Desert Sky Chiropractic
• Desert Sky Dental Partners LLC
• Desert Sky Family Dental PLLC
• Desert Sky Hospice LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.