NPIMap

Organization Active NPI

Infinite Potential Centers for Healing, Inc.

  • Nutrition Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1649440561
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
5988 Issued in AZ
Legal business name
INFINITE POTENTIAL CENTERS FOR HEALING, INC.
Practice address
6124 E Delcoa Ave
Scottsdale, AZ 85254-3823
Phone
(480) 219-4439
Fax
(480) 219-4569
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Stephanie Mancuso, RD, DC, FICPANPI 1346374758
Title
President
Phone
(480) 219-4439

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)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 5988 AZ Primary

Addresses

Primary practice location

6124 E Delcoa Ave
Scottsdale, AZ 85254-3823

Mailing address

6124 E Delcoa Ave
Scottsdale, AZ 85254-3823
Phone (480) 219-4439

Other identifiers 1

IdentifierTypeStateIssuer
AZ0941110OtherAZBCBS

Other names 1

  • Infinite Potential Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

8402 E Shea Blvd
Ste 103
Scottsdale, AZ 85260
Phone (480) 219-4439

Practitioners & affiliated clinicians

Practitioners 2

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1649440561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 E DELCOA AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543823",
            "telephone_number": "480-219-4439",
            "fax_number": "480-219-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 E DELCOA AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543823",
            "telephone_number": "480-219-4439",
            "fax_number": "480-219-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE POTENTIAL CENTERS FOR HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-219-4439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RD, DC, FICPA"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "5988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0941110",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Potential Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 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.