Active NPI
Sonya A Bladow, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1295984987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7965
- Practice address
- 11209 N Tatum Blvd
Ste 140
Phoenix, AZ 85028-3091 - Phone
- (480) 368-2639
- Fax
- (480) 368-2643
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7965 | AZ | Primary |
Addresses
Primary practice location
11209 N Tatum Blvd
Ste 140
Phoenix, AZ 85028-3091
Mailing address
11209 N Tatum Blvd
Ste 140
Phoenix, AZ 85028-3091
Phone (480) 368-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081114000777 | AZ | Practitioner - Chiropractic | 5496815839 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7032 E Cochise Rd
A130
Scottsdale, AZ 85253-1454
Phone (480) 368-2639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7965 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Lifestyle Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
7032 E Cochise Rd
Ste A130
Scottsdale, AZ 85253
Phone (480) 368-2639
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1295984987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD",
"address_2": "STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283091",
"telephone_number": "480-368-2639",
"fax_number": "480-368-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD",
"address_2": "STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283091",
"telephone_number": "480-368-2639",
"fax_number": "480-368-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADOW",
"first_name": "SONYA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.