Active NPI
John W Thuerck III, DC
- Chiropractor
- Goodyear, AZ
National Provider Identifier
1346356896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5917
- Practice address
- 2960 N Litchfield Rd Ste 110
Goodyear, AZ 85395-7822 - Phone
- (623) 882-9602
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008216 | NY | |
| Chiropractor | 111N00000X | 5917 | AZ | Primary |
Addresses
Primary practice location
2960 N Litchfield Rd Ste 110
Goodyear, AZ 85395-7822
Mailing address
14801 W Country Gables Dr
Surprise, AZ 85379-5416
Phone (623) 882-9619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250328002405 | AZ | Practitioner - Chiropractic | 9335175132 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 100 Chiro Speterson LLC
Practice addresses (Care Compare)
20004 N 67TH Ave
Suite 502
Glendale, AZ 85308-4623
Phone (623) 290-2460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Chiro Speterson LLC | Chiropractor | Current | Accepting new patients |
| Munroe Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
20004 N 67th Ave
Ste 502
Glendale, AZ 85308
Phone (513) 544-0025
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Williamsville, NY
- NPI 1043225774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1346356896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14801 W COUNTRY GABLES DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795416",
"telephone_number": "623-882-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 N LITCHFIELD RD STE 110",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957822",
"telephone_number": "623-882-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUERCK",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008216",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.