NPIMap

Organization Active NPI

Badger West Corporation

Doing business as Advanced Back Pain & Injury Center

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1376669606
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BADGER WEST CORPORATION
Doing business as
Advanced Back Pain & Injury Center
Practice address
11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073
Phone
(602) 494-3037
Fax
(602) 996-5274
NPI assigned
Mar 21, 2007
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Jay Douglas McFarlane, D.C.NPI 1669477535
Title
Owner
Phone
(602) 494-3037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073

Mailing address

11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073
Phone (602) 494-3037

Other identifiers 1

IdentifierTypeStateIssuer
AZ0249180OtherAZBCBS OF ARIZONA

Other names 1

  • ADVANCED BACK PAIN & INJURY CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1376669606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-494-3037",
            "fax_number": "602-996-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-494-3037",
            "fax_number": "602-996-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER WEST CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "MCFARLANE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-494-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0249180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED BACK PAIN & INJURY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.