Organization Active NPI

Indigo Chiropractic Inc

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1588846240
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7173 Issued in AZ
Legal business name
INDIGO CHIROPRACTIC INC
Practice address
9755 N 90TH St Ste A203
Scottsdale, AZ 85258-5079
Phone
(480) 661-2903
Fax
(480) 451-3500
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Roger P Smith, D.C.
Title
President
Phone
(480) 451-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7173 AZ Primary

Addresses

Primary practice location

9755 N 90TH St Ste A203
Scottsdale, AZ 85258-5079

Mailing address

9755 N 90TH St Ste A203
Scottsdale, AZ 85258-5079
Phone (480) 661-2903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1588846240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST STE A203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585079",
            "telephone_number": "480-661-2903",
            "fax_number": "480-451-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST STE A203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585079",
            "telephone_number": "480-661-2903",
            "fax_number": "480-451-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-451-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.