Organization Active NPI

Parkway Chiropractic, P.C.

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1376727180
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5567 Issued in AZ
Legal business name
PARKWAY CHIROPRACTIC, P.C.
Practice address
10006 W Happy Valley Rd
Suite 1210
Peoria, AZ 85383-1235
Phone
(623) 537-3900
Fax
(623) 825-6508
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Glenn Micheels, D.C.NPI 1023133139
Title
President
Phone
(623) 537-3900

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
Chiropractor 111N00000X 5567 AZ Primary

Addresses

Primary practice location

10006 W Happy Valley Rd
Suite 1210
Peoria, AZ 85383-1235

Mailing address

8923 W Daley LN
Peoria, AZ 85383-1938
Phone (623) 537-3900

Other identifiers 1

IdentifierTypeStateIssuer
1023133139OtherAZINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000132 AZ Part B Supplier - Clinic/Group Practice 8022192541 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

10006 W Happy Valley Pkwy
#121
Peoria, AZ 85383

10006 W Happy Valley Pkwy
Ste 1210
Peoria, AZ 85383
Phone (623) 537-3900

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": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1376727180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 W DALEY LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831938",
            "telephone_number": "623-537-3900",
            "fax_number": "623-825-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 W HAPPY VALLEY RD",
            "address_2": "SUITE 1210",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831235",
            "telephone_number": "623-537-3900",
            "fax_number": "623-825-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "MICHEELS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-537-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023133139",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.