Relief Source Chiropractic & Wellness Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4620 Issued in AZ

Legal business name

RELIEF SOURCE CHIROPRACTIC & WELLNESS CENTER PC

Practice address

2815 S Alma School Rd
Ste 105
Mesa, AZ 85210-4032

Phone

(480) 345-1964

Fax

(480) 345-1973

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Sonny Sampedro, DCNPI 1881872976

Title

President/Chiropractor

Phone

(480) 345-1964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Sonny Sampedro, DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1881872976
  Medicare reassignment NPD Authorized official
• Jean Hornung-Starr, MSW

  • Clinical Social Worker
  • Mesa, AZ
  • NPI 1679683593
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1467544759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S ALMA SCHOOL RD",
            "address_2": "STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104032",
            "telephone_number": "480-345-1964",
            "fax_number": "480-345-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S ALMA SCHOOL RD",
            "address_2": "STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104032",
            "telephone_number": "480-345-1964",
            "fax_number": "480-345-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIEF SOURCE CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SAMPEDRO",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-345-1964",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.