Organization Active NPI

Phoenix Family Wellness PLLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1689970113
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7909 Issued in AZ
Legal business name
PHOENIX FAMILY WELLNESS PLLC
Practice address
20811 N Cave Creek Rd
#103
Phoenix, AZ 85024-4461
Phone
(602) 569-7000
Fax
(602) 569-7001
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Lora Y Walfoort, DC
Title
Director
Phone
(602) 569-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7909 AZ Primary

Addresses

Primary practice location

20811 N Cave Creek Rd
#103
Phoenix, AZ 85024-4461

Mailing address

20235 N Cave Creek Rd
#104-459
Phoenix, AZ 85024-4424
Phone (602) 569-7000

National Provider Directory

National Provider Directory

Locations

20811 N Cave Creek Rd
Ste 103
Phoenix, AZ 85024
Phone (602) 569-7000

20811 N Cave Creek Rd
Phoenix, AZ 85024
Phone (602) 569-7000

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1689970113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20235 N CAVE CREEK RD",
            "address_2": "#104-459",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244424",
            "telephone_number": "602-569-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20811 N CAVE CREEK RD",
            "address_2": "#103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244461",
            "telephone_number": "602-569-7000",
            "fax_number": "602-569-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "WALFOORT",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-569-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7909",
            "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 May 24, 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.