Retail Automation USA LLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

1058 Issued in AZ

Legal business name

RETAIL AUTOMATION USA LLC

Practice address

1501 S Yale St
Suite 250
Flagstaff, AZ 86001-7304

Phone

(928) 556-0707

Fax

(928) 779-2223

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Love

Title

Ceo

Phone

(928) 556-0707

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MUNDERLOH CHIROPRACTIC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy James Munderloh, DC

  • Neurology Chiropractor
  • Flagstaff, AZ
  • NPI 1104883164
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1447397336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST",
            "address_2": "SUITE 250",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017304",
            "telephone_number": "928-556-0707",
            "fax_number": "928-779-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST",
            "address_2": "SUITE 250",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017304",
            "telephone_number": "928-556-0707",
            "fax_number": "928-779-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETAIL AUTOMATION USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-556-0707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5935",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENCE",
            "identifier": "5935",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ NUMBER",
            "identifier": "AZ09441160",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1104883164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUNDERLOH CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Chiropractor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Neurology Chiropractor in Arizona

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