Organization Active NPI

The Ultimate Spine Center II, PC

  • Chiropractor
  • Maricopa, AZ
National Provider Identifier
1396927232
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7151 Issued in AZ
Legal business name
THE ULTIMATE SPINE CENTER II, PC
Doing business as
Maricopa Back & Neck Care
Practice address
20928 N John Wayne Pkwy
Suite C-4
Maricopa, AZ 85139-2922
Phone
(520) 568-9828
Fax
(520) 568-3338
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. John D Pham, D.C.
Title
President
Phone
(520) 568-9828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7151 AZ Primary

Addresses

Primary practice location

20928 N John Wayne Pkwy
Suite C-4
Maricopa, AZ 85139-2922

Mailing address

2925 E Riggs Rd
Suite 8-137
Chandler, AZ 85249-3600
Phone (520) 568-9828

Other names 1

  • Maricopa Back & Neck Care Doing business as

National Provider Directory

National Provider Directory

Locations

2925 E Riggs Rd
Ste 8137
Chandler, AZ 85249

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1396927232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD",
            "address_2": "SUITE 8-137",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493600",
            "telephone_number": "520-568-9828",
            "fax_number": "520-568-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20928 N JOHN WAYNE PKWY",
            "address_2": "SUITE C-4",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392922",
            "telephone_number": "520-568-9828",
            "fax_number": "520-568-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ULTIMATE SPINE CENTER II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-568-9828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa Back & Neck Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.