Organization Active NPI

Zachary J. Wells D.C. PLLC

  • Rehabilitation Chiropractor
  • Phoenix, AZ
National Provider Identifier
1689796013
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
7137 Issued in AZ
Legal business name
ZACHARY J. WELLS D.C. PLLC
Practice address
3170 W Carefree Hwy
Suite 5
Phoenix, AZ 85086-3205
Phone
(623) 587-9036
Fax
(623) 587-9250
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Dr. Zachary J. Wells, D.C.NPI 1134225808
Title
Owner
Phone
(623) 217-3586

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 7137 AZ Primary

Addresses

Primary practice location

3170 W Carefree Hwy
Suite 5
Phoenix, AZ 85086-3205

Mailing address

150 E Sharon Ave
Phoenix, AZ 85022-4731
Phone (623) 217-3586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070504000183 AZ Part B Supplier - Clinic/Group Practice 2961508155 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3170 W Carefree Hwy
Ste 5
Phoenix, AZ 85086
Phone (623) 587-9036

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": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1689796013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SHARON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224731",
            "telephone_number": "623-217-3586",
            "fax_number": "866-821-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W CAREFREE HWY",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863205",
            "telephone_number": "623-587-9036",
            "fax_number": "623-587-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY J. WELLS D.C. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-217-3586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7137",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 8, 2017; 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.