Reform Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REFORM CHIROPRACTIC LLC

Practice address

1810 S Power Rd Ste 103
Mesa, AZ 85206-4325

Phone

(480) 597-7838

Fax

(480) 393-3276

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cassie Bradley, DCNPI 1720369002

Title

Owner/Chiropractor

Phone

(480) 597-7838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Cassie R Bradley, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1720369002
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1275144107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064325",
            "telephone_number": "480-597-7838",
            "fax_number": "480-393-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064325",
            "telephone_number": "480-597-7838",
            "fax_number": "480-393-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-597-7838",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.