Advanced Technology Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED TECHNOLOGY CHIROPRACTIC LLC

Practice address

4494 W Peoria Ave Ste 116
Glendale, AZ 85302-2025

Phone

(623) 842-1261

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Bruce Schmidt, DC

Title

Provider

Phone

(623) 842-1261

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marybeth Barcome, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1144743071
  NPD (past)
• Noe Mendes Carranza, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1790045342
  NPD (past)
• Christine Ashley Coombs, NP

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1841015278
  NPD (past)
• Sandra Lerdal, AGNP

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
  • NPI 1487312187
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1336497643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022025",
            "telephone_number": "623-842-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 116",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022025",
            "telephone_number": "623-842-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TECHNOLOGY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "623-842-1261",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Practice Nurse Source, LLC
• Advanced Wellness Center, Inc
• Adventure ABA, LLC
• Advocate Behavioral Home LLC
• Aeroptics LLC
• Affiliated Hearing Care Center, LLC

• All providers in Glendale, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.