Organization Active NPI

L.Blair Nielsen, DC LLC

  • Medical Specialty Clinic/Center
  • Mesa, AZ
National Provider Identifier
1447525134
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4564 Issued in AZ
Legal business name
L.BLAIR NIELSEN, DC LLC
Practice address
7254 E Southern Ave
113
Mesa, AZ 85209-2786
Phone
(602) 803-5032
Fax
(480) 452-0921
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Lawrence Blair Nielsen, DCNPI 1447332051
Title
Owner
Phone
(602) 803-5032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4564 AZ Primary

Addresses

Primary practice location

7254 E Southern Ave
113
Mesa, AZ 85209-2786

Mailing address

7254 E Southern Ave
113
Mesa, AZ 85209-2786
Phone (602) 803-5032

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1447525134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "602-803-5032",
            "fax_number": "480-452-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "602-803-5032",
            "fax_number": "480-452-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.BLAIR NIELSEN, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-803-5032",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.