Organization Active NPI

Chisholm Chiropractic Care, Inc.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1588095616
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5963 Issued in AZ
Legal business name
CHISHOLM CHIROPRACTIC CARE, INC.
Practice address
15610 N 35TH Ave
Ste 11
Phoenix, AZ 85053-3838
Phone
(602) 843-1197
Fax
(602) 843-0310
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Erin Chisholm, DC
Title
President
Phone
(602) 843-1197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5963 AZ Primary

Addresses

Primary practice location

15610 N 35TH Ave
Ste 11
Phoenix, AZ 85053-3838

Mailing address

15610 N 35TH Ave
Ste 11
Phoenix, AZ 85053-3838
Phone (602) 843-1197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1588095616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15610 N 35TH AVE",
            "address_2": "STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533838",
            "telephone_number": "602-843-1197",
            "fax_number": "602-843-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 N 35TH AVE",
            "address_2": "STE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533838",
            "telephone_number": "602-843-1197",
            "fax_number": "602-843-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISHOLM CHIROPRACTIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-843-1197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 27, 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.