Organization Active NPI

Reach Chiropractic Life Center PC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1598940512
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4534 Issued in AZ
Legal business name
REACH CHIROPRACTIC LIFE CENTER PC
Practice address
12802 N Cave Creek Rd
Phoenix, AZ 85022-5825
Phone
(602) 867-4210
Fax
(602) 867-7600
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Dr. Frank Reach, D.C.
Title
C.E.O.
Phone
(602) 867-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4534 AZ Primary

Addresses

Primary practice location

12802 N Cave Creek Rd
Phoenix, AZ 85022-5825

Mailing address

12802 N Cave Creek Rd
Phoenix, AZ 85022-5825
Phone (602) 867-4210

Other identifiers 1

IdentifierTypeStateIssuer
AZ0234000OtherAZBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

12802 N Cave Creek Rd
Phoenix, AZ 85022
Phone (602) 867-4210

12802 N Cave Creek Rd
Ste B
Phoenix, AZ 85022
Phone (602) 867-4210

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1598940512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225825",
            "telephone_number": "602-867-4210",
            "fax_number": "602-867-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225825",
            "telephone_number": "602-867-4210",
            "fax_number": "602-867-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH CHIROPRACTIC LIFE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "REACH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "602-867-4210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0234000",
            "state": "AZ"
        }
    ],
    "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 Jul 25, 2012; 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.