Chandler Family Chiropractic & Rehab, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8104 Issued in AZ

Legal business name

CHANDLER FAMILY CHIROPRACTIC & REHAB, PLLC

Practice address

1801 W Queen Creek Rd
Suite 2
Chandler, AZ 85248-3001

Phone

(630) 660-4436

Fax

(480) 812-1839

NPI assigned

Jun 28, 2010

Last updated

Jun 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Boerboom, D.C.NPI 1184894594

Title

Chiropractor/Owner

Phone

(630) 660-4436

Specialties & licenses 1

Addresses

Locations

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.

• Nicole Kristine Boerboom, D.C.

  • Chiropractor
  • Chandler, AZ
  • NPI 1184894594
  Authorized official Same address or phone

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1609187335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W QUEEN CREEK RD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483001",
            "telephone_number": "630-660-4436",
            "fax_number": "480-812-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W QUEEN CREEK RD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483001",
            "telephone_number": "630-660-4436",
            "fax_number": "480-812-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER FAMILY CHIROPRACTIC & REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "BOERBOOM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "630-660-4436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Endoscopy Ambulatory Surgery Center, LLC (Chandler Endoscopy Center)
• Chandler Endoscopy Center, L.L.C.
• Chandler Eye Center
• Chandler Eyecare LLC
• Chandler Fairview Partners LLC (Copper Creek Inn Memory Care)
• Chandler Family Practice, PC
• Chandler Health Associates LLC
• Chandler Health Coach
• Chandler Health Systems LLC
• Chandler Implants & Periodontics, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.