Organization Active NPI

Whole Health Chiropractic, P.C.

  • Chiropractor
  • Fountain Hills, AZ
National Provider Identifier
1568597979
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4603 Issued in AZ
Legal business name
WHOLE HEALTH CHIROPRACTIC, P.C.
Practice address
13215 N Verde River Dr
Suite 4
Fountain Hills, AZ 85268-8308
Phone
(480) 837-5988
Fax
(480) 837-5991
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Matthew Henry Teusink, D.C.NPI 1205961562
Title
Principle
Phone
(480) 837-5988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4603 AZ Primary

Addresses

Primary practice location

13215 N Verde River Dr
Suite 4
Fountain Hills, AZ 85268-8308

Mailing address

13215 N Verde River Dr
Suite 4
Fountain Hills, AZ 85268-8308
Phone (480) 837-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209001124 AZ Part B Supplier - Clinic/Group Practice 2466419569 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Hills, AZ

National Provider Directory

National Provider Directory

Locations

16605 E Palisades Blvd
Ste 110
Fountain Hls, AZ 85268
Phone (480) 837-3188

13215 N Verde River Dr
Ste 4
Fountain Hls, AZ 85268
Phone (480) 837-5988

4355 E Irma Ln
Phoenix, AZ 85050
Phone (480) 265-2130

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1568597979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR",
            "address_2": "SUITE 4",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688308",
            "telephone_number": "480-837-5988",
            "fax_number": "480-837-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR",
            "address_2": "SUITE 4",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688308",
            "telephone_number": "480-837-5988",
            "fax_number": "480-837-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "TEUSINK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "480-837-5988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.