NPIMap

Organization Active NPI

Imagine Wellness Chiropractic

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1376714154
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7885 Issued in AZ
Legal business name
IMAGINE WELLNESS CHIROPRACTIC
Practice address
822 E Union Hills Dr
Suite 22
Phoenix, AZ 85024-8403
Phone
(623) 582-8951
Fax
(623) 582-0023
NPI assigned
Mar 19, 2008
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. Roxane Gail Zamora, D.C.NPI 1679757587
Title
Owner
Phone
(623) 582-8951

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7885 AZ Primary

Addresses

Primary practice location

822 E Union Hills Dr
Suite 22
Phoenix, AZ 85024-8403

Mailing address

822 E Union Hills Dr
Suite 22
Phoenix, AZ 85024-8403
Phone (623) 582-8951

National Provider Directory

National Provider Directory

Locations

822 E Union Hills Dr
#22
Phoenix, AZ 85024
Phone (623) 582-8951

Practitioners & affiliated clinicians

Practitioners 2

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1376714154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 E UNION HILLS DR",
            "address_2": "SUITE 22",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248403",
            "telephone_number": "623-582-8951",
            "fax_number": "623-582-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 E UNION HILLS DR",
            "address_2": "SUITE 22",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248403",
            "telephone_number": "623-582-8951",
            "fax_number": "623-582-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-582-8951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7885",
            "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 Apr 14, 2014; 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.