Individual provider Active NPI

John W Thuerck III, DC

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1346356896
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5917 Issued in AZ
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

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7719408707, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
100 Chiro Speterson LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Munroe Chiropractic Chiropractor PastSince Nov 1, 2000 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.

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.

Verify at the official NPI Registry.