Active NPI
Backpro Chiropractic & Nutrition, P.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1639422611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5719
- Legal business name
- BACKPRO CHIROPRACTIC & NUTRITION, P.C.
- Practice address
- 3141 E Beardsley Rd
Suite 125
Phoenix, AZ 85050-4771 - Phone
- (602) 992-4444
- Fax
- (602) 992-4004
- NPI assigned
- Oct 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard A Guarino, D.C,
- Title
- President/Owner
- Phone
- (602) 992-4444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5719 | AZ | Primary |
Addresses
Primary practice location
3141 E Beardsley Rd
Suite 125
Phoenix, AZ 85050-4771
Mailing address
PO Box 72959
Phoenix, AZ 85050-1033
Phone (602) 992-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0934900 | Other | BCBS OF AZ | |
| Z60382 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3141 E Beardsley Rd
Ste 125
Phoenix, AZ 85050
Phone (602) 992-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Phoenix, AZ
- NPI 1033182266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1639422611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72959",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850501033",
"telephone_number": "602-992-4444",
"fax_number": "602-992-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 E BEARDSLEY RD",
"address_2": "SUITE 125",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504771",
"telephone_number": "602-992-4444",
"fax_number": "602-992-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACKPRO CHIROPRACTIC & NUTRITION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "GUARINO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "602-992-4444",
"authorized_official_credential": "D.C,"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "5719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ",
"identifier": "AZ0934900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z60382",
"state": null
}
],
"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 Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.