Maple Leaf Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5847 Issued in AZ

Legal business name

MAPLE LEAF CHIROPRACTIC

Doing business as

Health Source of Tempe

Practice address

7420 S Rural Rd Ste B6
Tempe, AZ 85283-4655

Phone

(480) 831-2870

Fax

(480) 831-2872

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Andrew Campbell, D.C.NPI 1720183882

Title

President

Phone

(480) 831-2870

Specialties & licenses 1

Addresses

Other names 1

• Health Source of Tempe Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• David Andrew Campbell, D.C.

  • Chiropractor
  • Tempe, AZ
  • NPI 1720183882
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1346596780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 S RURAL RD STE B6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834655",
            "telephone_number": "480-831-2870",
            "fax_number": "480-831-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 S RURAL RD STE B6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834655",
            "telephone_number": "480-831-2870",
            "fax_number": "480-831-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-831-2870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source of Tempe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica Mann, L.AC., DIPL.AC.
• Stephanie B Manriquez, RBT
• Lisa Ann Mansueto, M.D.
• Marc Community Resources, Inc.
• Andrew Thomas Marchesi, PT
• Amber Marchetti, LMT
• John Marcinkowski, MED, LAT, ATC
• Elizabeth Marcotte, RN

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.