Organization Active NPI

Richetto Chiropractic and Rehabilitation

  • Chiropractor
  • Queen Creek, AZ
National Provider Identifier
1508175753
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7378 Issued in AZ
Legal business name
RICHETTO CHIROPRACTIC AND REHABILITATION
Practice address
37852 N Beverly Ave
Queen Creek, AZ 85140-4186
Phone
(480) 775-3503
Fax
(480) 775-3508
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Paul Andrew Richetto, D.C.
Title
Chief Treating Physician
Phone
(480) 775-3503

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 7378 AZ Primary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 4562 AZ
Physical Therapy Clinic/Center 261QP2000X 4562PT AZ

Addresses

Primary practice location

37852 N Beverly Ave
Queen Creek, AZ 85140-4186

Mailing address

37852 N Beverly Ave
Queen Creek, AZ 85140-4186
Phone (480) 775-3503

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1508175753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37852 N BEVERLY AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851404186",
            "telephone_number": "480-775-3503",
            "fax_number": "480-775-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37852 N BEVERLY AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851404186",
            "telephone_number": "480-775-3503",
            "fax_number": "480-775-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHETTO CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "RICHETTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF TREATING PHYSICIAN",
        "authorized_official_telephone_number": "480-775-3503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7378",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4562",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "4562PT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.