Advanced Back and Neck Care of Ocotillo, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ADVANCED BACK AND NECK CARE OF OCOTILLO, PC

Practice address

1055 W Queen Creek Rd
#3
Chandler, AZ 85248-8134

Phone

(480) 814-7115

Fax

(480) 814-7792

NPI assigned

Jul 8, 2006

Last updated

Jan 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phil Gulde

Title

MGR

Phone

(480) 814-7115

Specialties & licenses 3

Addresses

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.

• Mark Alan Miller, D.C.

  • Chiropractor
  • Queen Creek, AZ
  • NPI 1659377364
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1326071010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W QUEEN CREEK RD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488134",
            "telephone_number": "480-814-7115",
            "fax_number": "480-814-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W QUEEN CREEK RD",
            "address_2": "#3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488134",
            "telephone_number": "480-814-7115",
            "fax_number": "480-814-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BACK AND NECK CARE OF OCOTILLO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GULDE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "480-814-7115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adl Solutions, Inc
• Adrian Huang D.M.D., P.L.L.C.
• Angelica Adriano, FNP-C
• Adult and Children Therapeutic Services
• Advance Chiropractic PC
• Advanced Back and Neck, LLC
• Advanced Care Internal Medicine, PLLC
• Advanced Foot & Ankle Specialists of Arizona PLLC
• Advanced Foot Care P.C.
• Advanced Gastroenterology PC

• Interventional Pain Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.