Organization Active NPI

Arizona Active Chiropractic LLC

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1508107913
Registry record updated Mar 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8143 Issued in AZ
Legal business name
ARIZONA ACTIVE CHIROPRACTIC LLC
Practice address
375 E Warner Rd
Suite 3
Chandler, AZ 85225-1031
Phone
(602) 663-5872
Fax
(480) 505-1143
NPI assigned
Mar 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2013

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

Authorized official

Name
Diana Feliciano
Title
Billing Manager
Phone
(602) 663-5872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8143 AZ Primary

Addresses

Primary practice location

375 E Warner Rd
Suite 3
Chandler, AZ 85225-1031

Mailing address

375 E Warner Rd
Suite 3
Chandler, AZ 85225-1031
Phone (602) 663-5872

National Provider Directory

National Provider Directory

Locations

375 E Warner Rd
Ste 3
Chandler, AZ 85225
Phone (602) 663-5872

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": "1362787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362787200000",
    "number": "1508107913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E WARNER RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251031",
            "telephone_number": "602-663-5872",
            "fax_number": "480-505-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E WARNER RD",
            "address_2": "SUITE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251031",
            "telephone_number": "602-663-5872",
            "fax_number": "480-505-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ACTIVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-09",
        "last_updated": "2013-03-09",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "602-663-5872"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; 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.