NPIMap

Organization Active NPI

Jensen Moore Chiropractic PLLC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1386283182
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JENSEN MOORE CHIROPRACTIC PLLC
Practice address
6033 W Bell Rd Ste H
Glendale, AZ 85308-3764
Phone
(602) 978-3321
Fax
(602) 978-5701
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Jensen M Moore, DC
Title
Ceo
Phone
(602) 978-3321

Specialties & licenses 1

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

Addresses

Primary practice location

6033 W Bell Rd Ste H
Glendale, AZ 85308-3764

Mailing address

6033 W Bell Rd Ste H
Glendale, AZ 85308-3764
Phone (602) 978-3321

Other names 1

  • Arizona Family Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1386283182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 W BELL RD STE H",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083764",
            "telephone_number": "602-978-3321",
            "fax_number": "602-978-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 W BELL RD STE H",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083764",
            "telephone_number": "602-978-3321",
            "fax_number": "602-978-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN MOORE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-978-3321",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.