Organization Active NPI

Powell Chiropractic Health Center

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1265802086
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4767 Issued in AZ
Legal business name
POWELL CHIROPRACTIC HEALTH CENTER
Practice address
7575 W Peoria Ave
Suite a-106
Peoria, AZ 85345-5873
Phone
(623) 873-4444
Fax
(623) 979-8515
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Tyler R Powell, D.C.NPI 1598971608
Title
Chiropractor
Phone
(623) 873-4444

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 4767 AZ Primary

Addresses

Primary practice location

7575 W Peoria Ave
Suite a-106
Peoria, AZ 85345-5873

Mailing address

7575 W Peoria Ave
Suite a-106
Peoria, AZ 85345-5873
Phone (623) 873-4444

Other identifiers 1

IdentifierTypeStateIssuer
ZDC4767OtherAZPTAN

National Provider Directory

National Provider Directory

Locations

7575 W Peoria Ave
Ste A106
Peoria, AZ 85345
Phone (623) 873-4444

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1265802086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W PEORIA AVE",
            "address_2": "SUITE A-106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455873",
            "telephone_number": "623-873-4444",
            "fax_number": "623-979-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W PEORIA AVE",
            "address_2": "SUITE A-106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455873",
            "telephone_number": "623-873-4444",
            "fax_number": "623-979-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "623-873-4444",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZDC4767",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.