Jeffrey D. Laufenberg D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5508 Issued in AZ

Legal business name

JEFFREY D. LAUFENBERG D.C., P.C.

Practice address

6611 W Peoria Ave
Ste. 3
Glendale, AZ 85302-7000

Phone

(623) 873-4444

NPI assigned

Jun 5, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey D Laufenberg

Title

President

Phone

(623) 873-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1568665990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 W PEORIA AVE",
            "address_2": "STE. 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027000",
            "telephone_number": "623-873-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 W PEORIA AVE",
            "address_2": "STE. 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027000",
            "telephone_number": "623-873-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. LAUFENBERG D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LAUFENBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-873-4444"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "949539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Glendale, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.