Organization Active NPI

Paradise Chiropractic PLLC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1356563555
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7015 Issued in AZ
Legal business name
PARADISE CHIROPRACTIC PLLC
Practice address
7450 E Pinnacle Peak Rd
Suite 154
Scottsdale, AZ 85255-3435
Phone
(480) 419-8900
Fax
(480) 419-9212
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Dr. Angela Renee Palmer, DC
Title
Office Manager
Phone
(602) 703-2399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7015 AZ Primary

Addresses

Primary practice location

7450 E Pinnacle Peak Rd
Suite 154
Scottsdale, AZ 85255-3435

Mailing address

7450 E Pinnacle Peak Rd Ste 154
Scottsdale, AZ 85255-3605
Phone (480) 419-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713001076 AZ Part B Supplier - Clinic/Group Practice 3476531674 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7450 E Pinnacle Peak Rd
Ste 154
Scottsdale, AZ 85255
Phone (480) 419-8900

7450 E Pinnacle Peak Rd
Ste A154
Scottsdale, AZ 85255
Phone (480) 419-8900

7450 E Pinnacle Peak Rd
#A154
Scottsdale, AZ 85255
Phone (480) 419-8900

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1356563555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 E PINNACLE PEAK RD STE 154",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553605",
            "telephone_number": "480-419-8900",
            "fax_number": "480-419-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 E PINNACLE PEAK RD",
            "address_2": "SUITE 154",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553435",
            "telephone_number": "480-419-8900",
            "fax_number": "480-419-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-703-2399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.