NPIMap

Organization Active NPI

Wellness Ventures

Doing business as Collision Chiropractic

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1568898112
Registry record updated Sep 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7980 Issued in AZ
Legal business name
WELLNESS VENTURES
Doing business as
Collision Chiropractic
Practice address
5130 N 19TH Ave Ste 3
Phoenix, AZ 85015-3222
Phone
(480) 440-3289
NPI assigned
Sep 15, 2013
Last updated
Sep 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2013

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

Authorized official

Name
Jeffrey Rogers, D.C.NPI 1750526976
Title
Owner
Phone
(480) 440-3289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7980 AZ Primary

Addresses

Primary practice location

5130 N 19TH Ave Ste 3
Phoenix, AZ 85015-3222

Mailing address

714 E Hampton CT
Gilbert, AZ 85295-5917
Phone (480) 440-3289

Other names 1

  • Collision Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5130 N 19th Ave
Ste 3
Phoenix, AZ 85015
Phone (480) 440-3289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379203200000",
    "number": "1568898112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E HAMPTON CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955917",
            "telephone_number": "480-440-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 N 19TH AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153222",
            "telephone_number": "480-440-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-15",
        "last_updated": "2013-09-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-440-3289",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collision Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 2013; 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.