Organization Active NPI

Action Chiropractic LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1497074512
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ACTION CHIROPRACTIC LLC
Practice address
3254 E Cactus Rd
Phoenix, AZ 85032-7233
Phone
(602) 867-9898
Fax
(602) 867-9853
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Timothy John Peruch, CHIROPRACTOR
Title
Owner/Operator
Phone
(602) 867-9898

Specialties & licenses 1

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

Addresses

Primary practice location

3254 E Cactus Rd
Phoenix, AZ 85032-7233

Mailing address

3254 E Cactus Rd
Phoenix, AZ 85032-7233
Phone (602) 867-9898

National Provider Directory

National Provider Directory

Locations

3254 E Cactus Rd
Phoenix, AZ 85032
Phone (602) 867-9898

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1497074512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327233",
            "telephone_number": "602-867-9898",
            "fax_number": "602-867-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327233",
            "telephone_number": "602-867-9898",
            "fax_number": "602-867-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "PERUCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "602-867-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 May 28, 2010; 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.