Spa Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6077 Issued in AZ

Legal business name

SPA CHIROPRACTIC PLLC

Practice address

6851 S Central Ave
Phoenix, AZ 85042-5420

Phone

(602) 268-6000

Fax

(602) 276-2600

NPI assigned

Feb 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James S Koop, D.C.

Title

Member

Phone

(602) 268-6000

Specialties & licenses 1

Addresses

Other names 1

• Accident Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1578702437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425420",
            "telephone_number": "602-268-6000",
            "fax_number": "602-276-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425420",
            "telephone_number": "602-268-6000",
            "fax_number": "602-276-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "KOOP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-268-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Sowells
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• Karen Elizabeth Soza, LMFT
• SP Dental
• Spa Therapy
• Paige Spackman, M.S.,
• Kelsey Lenee Spadafora, PHARMD
• Mary Jo Spadafore, MNS CCC SLP
• Nyssa Spahr, LAC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.