Organization Active NPI

Mortensen Chiropractic Inc.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1699849547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MORTENSEN CHIROPRACTIC INC.
Practice address
1395 E Warner Rd Ste 102
Gilbert, AZ 85296-3147
Phone
(480) 635-8228
Fax
(480) 635-9972
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Merritt Mortensen, D.C.
Title
President
Phone
(480) 635-8228

Specialties & licenses 1

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

Addresses

Primary practice location

1395 E Warner Rd Ste 102
Gilbert, AZ 85296-3147

Mailing address

1395 E Warner Rd Ste 102
Gilbert, AZ 85296-3147
Phone (480) 635-8228

National Provider Directory

National Provider Directory

Locations

1395 E Warner Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 635-8228

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699849547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E WARNER RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963147",
            "telephone_number": "480-635-8228",
            "fax_number": "480-635-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E WARNER RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963147",
            "telephone_number": "480-635-8228",
            "fax_number": "480-635-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTENSEN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MERRITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-635-8228",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.