Organization Active NPI

Awaken Chiropractic

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1346972916
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AWAKEN CHIROPRACTIC
Practice address
3941 E Chandler Blvd Ste 106
Phoenix, AZ 85048-0301
Phone
(870) 577-0341
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Dr. Alyson Cramer, D.C.NPI 1336871060
Title
Owner
Phone
(870) 577-0341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3941 E Chandler Blvd Ste 106
Phoenix, AZ 85048-0301

Mailing address

16025 S 50TH St Apt 2168
Phoenix, AZ 85048-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215001323 AZ Part B Supplier - Clinic/Group Practice 9931571247 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3941 E Chandler Blvd
Ste 106
Phoenix, AZ 85048
Phone (480) 247-2069

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1346972916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 S 50TH ST APT 2168",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850485020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 E CHANDLER BLVD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480301",
            "telephone_number": "870-577-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-577-0341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.