NPIMap

Organization Active NPI

Arizona Wellness Chiropractic, LLC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1336292051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7476 Issued in AZ
Legal business name
ARIZONA WELLNESS CHIROPRACTIC, LLC
Practice address
5750 W Thunderbird Rd Ste E580
Glendale, AZ 85306-4671
Phone
(623) 412-9355
Fax
(623) 412-9356
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chett Legrand Mallett, D.C.
Title
Owner
Phone
(623) 412-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7476 AZ Primary

Addresses

Primary practice location

5750 W Thunderbird Rd Ste E580
Glendale, AZ 85306-4671

Mailing address

5750 W Thunderbird Rd Ste E580
Glendale, AZ 85306-4671
Phone (623) 412-9355

National Provider Directory

National Provider Directory
Tax ID family
Arizona Wellness Chiropractic LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336292051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE E580",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064671",
            "telephone_number": "623-412-9355",
            "fax_number": "623-412-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W THUNDERBIRD RD STE E580",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064671",
            "telephone_number": "623-412-9355",
            "fax_number": "623-412-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA WELLNESS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "CHETT",
        "authorized_official_middle_name": "LEGRAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-412-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.