Avicenna Laser Therapy Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4548 Issued in AZ

Legal business name

AVICENNA LASER THERAPY CENTER, PC

Practice address

8563 E San Alberto Dr
Suite 100
Scottsdale, AZ 85258-4345

Phone

(480) 657-2282

Fax

(480) 614-3378

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Andrew Temple, D.C.

Title

President

Phone

(480) 657-2282

Specialties & licenses 1

Addresses

Other names 1

• Temple Physical Medicine Group, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1376793166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8563 E SAN ALBERTO DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584345",
            "telephone_number": "480-657-2282",
            "fax_number": "480-614-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8563 E SAN ALBERTO DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584345",
            "telephone_number": "480-657-2282",
            "fax_number": "480-614-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA LASER THERAPY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-657-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Physical Medicine Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Aviation West Charters Inc
• Aviation West Charters LLC
• Sophia Maria Avila
• Samantha Desiree Aviles, PHARMD
• Reyna Avina, LCSW
• Lynne Allen Avram, RN
• David Paul Avril, RPH

• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.