The Spine Docs, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE SPINE DOCS, LLC

Doing business as

North Mesa Chiropractic

Practice address

1925 E Brown Rd Ste A1
Mesa, AZ 85203-5135

Phone

(480) 969-2425

NPI assigned

Jan 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avrielle Caroline SimoneauNPI 1467131128

Title

Part Owner

Phone

(406) 577-6174

Specialties & licenses 1

Addresses

Other names 1

• North Mesa Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emmanuel Monroy, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1407485840
  Medicare reassignment NPD
• Wade Anthony Darr, DC

  • Chiropractor
  • Bozeman, MT
  • NPI 1003972571

  AZ

  Medicare reassignment NPD
• Avrielle Caroline Simoneau, LMT

  • Massage Therapist
  • Bozeman, MT
  • NPI 1467131128
  Authorized official Same address or phone

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1346955960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E BROWN RD STE A1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035135",
            "telephone_number": "480-969-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BROWN RD STE A1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035135",
            "telephone_number": "480-969-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE DOCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SIMONEAU",
        "authorized_official_first_name": "AVRIELLE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "406-577-6174"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mesa Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Mesa Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.