Individual provider Active NPI

Marie Mendoza Cipollo, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1548452972
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5274 Issued in AZ
Practice address
3050 S Country Club Dr Ste 26
Mesa, AZ 85210-8365
Phone
(480) 264-9977
Fax
(480) 602-9831
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5274 AZ Primary

Addresses

Primary practice location

3050 S Country Club Dr Ste 26
Mesa, AZ 85210-8365

Mailing address

3050 S Country Club Dr Ste 26
Mesa, AZ 85210-8365
Phone (480) 264-9977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3050 S Country Club Dr
Suite 26
Mesa, AZ 85210-8365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5274AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1548452972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S COUNTRY CLUB DR STE 26",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108365",
            "telephone_number": "480-264-9977",
            "fax_number": "480-602-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S COUNTRY CLUB DR STE 26",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108365",
            "telephone_number": "480-264-9977",
            "fax_number": "480-602-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLO",
        "first_name": "MARIE",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.