QC District Medical Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

QC DISTRICT MEDICAL GROUP LLC

Practice address

21323 S Ellsworth Loop Rd Ste 101
Queen Creek, AZ 85142-9865

Phone

(480) 839-8552

Fax

(480) 926-2260

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Minoo Rahimi

Title

Manager

Phone

(480) 926-7800

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1548734403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333056",
            "telephone_number": "480-926-7800",
            "fax_number": "480-926-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21323 S ELLSWORTH LOOP RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429865",
            "telephone_number": "480-839-8552",
            "fax_number": "480-926-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC DISTRICT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MINOO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-926-7800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• QC Combs 3, LLC
• QC Medical Group LLC
• QC Valley Medical Centers, LLC
• Queen Creek Back Care, LLC
• Queen Creek Counseling LLC
• Queen Creek Implants & Periodontics

• Chiropractor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.