Individual provider Active NPI

Sarah Elizabeth Puente, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1548834880
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9071 Issued in AZ
Practice address
3241 E Shea Blvd Ste 7
Phoenix, AZ 85028-3335
Phone
(573) 837-2560
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9071 AZ Primary

Addresses

Primary practice location

3241 E Shea Blvd Ste 7
Phoenix, AZ 85028-3335

Mailing address

1226 E Bethany Home Rd Apt 51a
Phoenix, AZ 85014-2035
Phone (573) 837-2560

Other practice location 1

12603 N Tatum Blvd Ste A112
Phoenix, AZ 85032-7710
Phone (602) 975-4788

Other names 1

  • Sarah Elizabeth Uptmor Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9071AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1548834880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E BETHANY HOME RD APT 51A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142035",
            "telephone_number": "573-837-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 E SHEA BLVD STE 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283335",
            "telephone_number": "573-837-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12603 N Tatum Blvd Ste A112",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850327710",
            "country_code": "US",
            "telephone_number": "602-975-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "UPTMOR",
            "middle_name": "ELIZABETH",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 9, 2022; 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.