Organization Active NPI

Back Health Chiropractic, LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1467780197
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5608 Issued in AZ
Legal business name
BACK HEALTH CHIROPRACTIC, LLC
Practice address
4503 N 32ND St
Phoenix, AZ 85018-3339
Phone
(602) 956-8222
Fax
(602) 956-8333
NPI assigned
Nov 18, 2009
Last updated
Nov 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Goudarz Vassigh, D.C.NPI 1437365301
Title
Owner/Doctor
Phone
(602) 956-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5608 AZ Primary

Addresses

Primary practice location

4503 N 32ND St
Phoenix, AZ 85018-3339

Mailing address

4503 N 32ND St
Phoenix, AZ 85018-3339
Phone (602) 956-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201028001739 AZ Part B Supplier - Clinic/Group Practice 3971913252 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

4425 N 24th St
Ste 125
Phoenix, AZ 85016
Phone (602) 956-8222

4503 N 32nd St
Phoenix, AZ 85018
Phone (602) 956-8222

Practitioners & affiliated clinicians

Practitioners 3

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": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1467780197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183339",
            "telephone_number": "602-956-8222",
            "fax_number": "602-956-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183339",
            "telephone_number": "602-956-8222",
            "fax_number": "602-956-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "VASSIGH",
        "authorized_official_first_name": "GOUDARZ",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "602-956-8222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5608",
            "primary": true
        }
    ],
    "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 Nov 18, 2009; 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.