Azana Therapeutic Recondition Inc,

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

AZANA THERAPEUTIC RECONDITION INC,

Doing business as

Azana Inc.

Practice address

101 S Rainbow Blvd Ste 22101S
Las Vegas, NV 89145-5362

Phone

(702) 300-6014

Fax

(702) 906-2361

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jorge L Gutierrez, N.D.

Title

Manager

Phone

(702) 300-6014

Specialties & licenses 2

Addresses

Other names 1

• Azana Inc. Doing business as

Tax ID family

Azana Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Azana Therapeutic Recondition Inc,

  dba Azana Inc.

  • Rehabilitation Chiropractor
  • Las Vegas, NV
  • NPI 1427893973
  NPD tax ID

Locations

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1326884800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 GRANITE PEAK CT STE 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455430",
            "telephone_number": "702-300-6014",
            "fax_number": "702-906-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RAINBOW BLVD STE 22101S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455362",
            "telephone_number": "702-300-6014",
            "fax_number": "702-906-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZANA THERAPEUTIC RECONDITION INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-300-6014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azana Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Azad, DMD
• Evans Yonyon Azagidi
• Azalea Garden LLC
• Brian Azali
• Muhammad Farooq Azam
• Azana Therapeutic Recondition Inc, (Azana Inc.)
• Aedom Azanaw
• Christine Azar
• Maria Azar
• Roudayna Azar

• Rehabilitation Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.