Aspen Rae LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

7250 Issued in AZ

Legal business name

ASPEN RAE LLC

Practice address

21681 N 77TH Ave
Suite 1415
Peoria, AZ 85382-2132

Phone

(623) 572-9200

Fax

(623) 572-9204

NPI assigned

Mar 11, 2010

Last updated

Feb 2, 2011By 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. Shane Aspen McCall, D.C.NPI 1912933227

Title

Owner/ Doctor

Phone

(623) 572-9200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

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.

• Shane A McCall, D. C.

  • Chiropractor
  • Peoria, AZ
  • NPI 1912933227
  Medicare reassignment Care Compare group NPD Authorized official
• Bryan R Glick, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1164620308
  Medicare reassignment Care Compare group NPD
• Joseph Jean Vigneau, D.C.

  • Chiropractor
  • Clinton Township, MI
  • NPI 1750636007

  AZ

  Medicare reassignment NPD
• Emily Alicia Coffey, NP

  • Nurse Practitioner
  • Peoria, AZ
  • NPI 1871218768
  NPD (past)
• Stephanie Ann Counts, DC

  • Chiropractor
  • Avondale, AZ
  • NPI 1730797945
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1659694156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE",
            "address_2": "SUITE 1415",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822132",
            "telephone_number": "623-572-9200",
            "fax_number": "623-572-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE",
            "address_2": "SUITE 1415",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822132",
            "telephone_number": "623-572-9200",
            "fax_number": "623-572-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN RAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ASPEN",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "623-572-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "AZ",
            "license": "2747",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Rehabilitation Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.

Verify at the official NPI Registry.