Mesa Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MESA CHIROPRACTIC PLLC

Practice address

6731 E Brown Rd Ste 101
Mesa, AZ 85205-4964

Phone

(480) 758-4252

Fax

(480) 275-6622

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Lacey Boyer

Title

Office Manager

Phone

(541) 767-3788

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.

• Baden James Patterson, DC

  • Chiropractor
  • Ammon, ID
  • NPI 1821336389

  AZ

  Medicare reassignment
• Richard Reneau, D.C.

  • Chiropractor
  • Roseburg, OR
  • NPI 1477892628
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1285280099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054964",
            "telephone_number": "480-758-4252",
            "fax_number": "480-275-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054964",
            "telephone_number": "480-758-4252",
            "fax_number": "480-275-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-767-3788"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesa Az Endoscopy ASC LLC
• Mesa Cardiovascular Research Center
• Mesa Center for Family Medicine
• Mesa Chiropractic and Rehabilitation Center P C
• Mesa Chiropractic Corp
• Mesa Chiropractic Rehab and Wellness LLC
• Mesa Clinic of Physicians and Surgeons, PLLC.
• Mesa CT Al MC Care Properties, LLC
• Mesa Dental Arizona LLC
• Mesa Dental Care

• 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 16, 2019; 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.