Organization Active NPI

JLW Chiropractic

Doing business as Gonstead Family Chiropractic

  • Chiropractor
  • Sun City, AZ
National Provider Identifier
1417255209
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5514 Issued in AZ
Legal business name
JLW CHIROPRACTIC
Doing business as
Gonstead Family Chiropractic
Practice address
9420 W Bell Rd
Suite 105
Sun City, AZ 85351-1362
Phone
(623) 815-1800
Fax
(623) 815-0500
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
James L Warlick, D.C.
Title
Owner
Phone
(623) 815-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5514 AZ Primary

Addresses

Primary practice location

9420 W Bell Rd
Suite 105
Sun City, AZ 85351-1362

Mailing address

9420 W Bell Rd
Suite 105
Sun City, AZ 85351-1362
Phone (623) 815-1800

Other identifiers 1

IdentifierTypeStateIssuer
Z144435OtherAZMEDICARE PTAN

Other names 1

  • Gonstead Family 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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1417255209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 W BELL RD",
            "address_2": "SUITE 105",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511362",
            "telephone_number": "623-815-1800",
            "fax_number": "623-815-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 W BELL RD",
            "address_2": "SUITE 105",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511362",
            "telephone_number": "623-815-1800",
            "fax_number": "623-815-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLW CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "WARLICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-815-1800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z144435",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.