Organization Active NPI

Surprise Crossing Chiropractic, LLC

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1396830816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5947 Issued in AZ
Legal business name
SURPRISE CROSSING CHIROPRACTIC, LLC
Doing business as
Surprise Crossing Chiropractic
Practice address
13794 W. Waddell Rd
Suite 205
Surprise, AZ 85379
Phone
(623) 584-7756
Fax
(623) 584-2682
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert James Lanier, D.C.
Title
Chiropractor/Owner
Phone
(623) 584-7756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5947 AZ Primary

Addresses

Primary practice location

13794 W. Waddell Rd
Suite 205
Surprise, AZ 85379

Mailing address

13794 W. Waddell Rd
Suite 205
Surprise, AZ 85379
Phone (623) 584-7756

Other names 1

  • Surprise Crossing Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396830816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13794 W. WADDELL RD",
            "address_2": "SUITE 205",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-584-7756",
            "fax_number": "623-584-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13794 W. WADDELL RD",
            "address_2": "SUITE 205",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-584-7756",
            "fax_number": "623-584-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE CROSSING CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "623-584-7756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surprise Crossing Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.