Az Maynard Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7847 Issued in AZ

Legal business name

AZ MAYNARD CHIROPRACTIC CORPORATION

Practice address

20260 N 59TH Ave
Glendale, AZ 85308-6845

Phone

(623) 561-9111

Fax

(623) 561-0005

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Michelle Maynard, D.C.

Title

Chiropractic Physician

Phone

(623) 570-3431

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David John Slebodnik, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1811199144
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1275729493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17174 W LAIRD CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853874204",
            "telephone_number": "623-570-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20260 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086845",
            "telephone_number": "623-561-9111",
            "fax_number": "623-561-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MAYNARD CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "623-570-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.