Organization Active NPI

Ultimate Health Clinic, LLC

  • Clinic/Center
  • Avondale, AZ
National Provider Identifier
1275719676
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
7411 Issued in AZ
Legal business name
ULTIMATE HEALTH CLINIC, LLC
Practice address
13065 W McDowell Rd
Suite B-111
Avondale, AZ 85392-6439
Phone
(623) 374-3200
Fax
(623) 388-3469
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Steven G Higgins, D.C.NPI 1427051812
Title
Ceo
Phone
(623) 374-3200

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
Clinic/Center 261Q00000X 7411 AZ Primary

Addresses

Primary practice location

13065 W McDowell Rd
Suite B-111
Avondale, AZ 85392-6439

Mailing address

13065 W McDowell Rd
Suite B-111
Avondale, AZ 85392-6439
Phone (623) 374-3200

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1275719676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD",
            "address_2": "SUITE B-111",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926439",
            "telephone_number": "623-374-3200",
            "fax_number": "623-388-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD",
            "address_2": "SUITE B-111",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926439",
            "telephone_number": "623-374-3200",
            "fax_number": "623-388-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-374-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "7411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.