Individual provider Active NPI

Adrian G Retamoza, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1457379323
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7373 Issued in AZ
Practice address
602 W Union Hills Dr
Suite 7
Phoenix, AZ 85027-6629
Phone
(623) 490-0999
Fax
(623) 492-0888
NPI assigned
Jul 18, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7373 AZ Primary
Rehabilitation Practitioner 225400000X 4104 AZ

Addresses

Primary practice location

602 W Union Hills Dr
Suite 7
Phoenix, AZ 85027-6629

Mailing address

602 W Union Hills Dr Ste 7
Phoenix, AZ 85027-6629
Phone (623) 492-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7373AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Health Physical Therapy PastSince Feb 23, 2020 Accepting new patients
Touch of Health Chiropractic Deer Valley Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1457379323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W UNION HILLS DR STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276629",
            "telephone_number": "623-492-0999",
            "fax_number": "623-492-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W UNION HILLS DR",
            "address_2": "SUITE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276629",
            "telephone_number": "623-490-0999",
            "fax_number": "623-492-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETAMOZA",
        "first_name": "ADRIAN",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7373",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "AZ",
            "license": "4104",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 18, 2020; 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.