Douglas Opie, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3686 Issued in AZ

Practice address

110 S Mesa Dr
#4
Mesa, AZ 85210-1458

Phone

(480) 833-8863

Fax

(480) 464-5516

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1336100437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MESA DR",
            "address_2": "#4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101458",
            "telephone_number": "480-833-8863",
            "fax_number": "480-464-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MESA DR",
            "address_2": "#4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101458",
            "telephone_number": "480-833-8863",
            "fax_number": "480-464-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPIE",
        "first_name": "DOUGLAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "AY4433",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BLUE SHIELD",
            "identifier": "AZ00082250",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543919001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Open Arms Integrated Healthcare LLC
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• Open Hearts Health Center
• Open Minds Healing Center
• Ammon Allen Opie, DC
• Opportunity Changes Communities LLC
• Opportunity Changes Communities LLC
• Ronald Opris, PHARMD
• Optical East Inc
• Optimal Tech LLC

• 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 May 20, 2008; 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.