Organization Active NPI

Soleil Chiropractic and Wellness LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1447540869
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7423 Issued in AZ
Legal business name
SOLEIL CHIROPRACTIC AND WELLNESS LLC
Practice address
365 N 4TH Ave
Phoenix, AZ 85003-1505
Phone
(480) 603-6443
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Dr. Natalie Anne Bustamante, DC
Title
Owner
Phone
(480) 603-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7423 AZ Primary

Addresses

Primary practice location

365 N 4TH Ave
Phoenix, AZ 85003-1505

Mailing address

2036 E Aspen Dr
Tempe, AZ 85282-2909

Other identifiers 1

IdentifierTypeStateIssuer
Z119677OtherAZMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

365 N 4th Ave
Phoenix, AZ 85003
Phone (480) 603-6443

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1447540869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 E ASPEN DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 N 4TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031505",
            "telephone_number": "480-603-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEIL CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-603-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z119677",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.