TJ3, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5635 Issued in AZ

Legal business name

TJ3, PLLC

Practice address

6677 W Thunderbird Rd
F104
Glendale, AZ 85306-3709

Phone

(623) 979-8700

Fax

(623) 979-8708

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi L Peruch

Title

Member

Phone

(623) 979-8700

Specialties & licenses 1

Addresses

Other names 1

• Thunderbird Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1285790808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "F104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-979-8700",
            "fax_number": "623-979-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "F104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-979-8700",
            "fax_number": "623-979-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ3, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "PERUCH",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-979-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thunderbird Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Apr 30, 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.