NPIMap

Organization Active NPI

Avondale Chiropractic Clinic

  • Chiropractor
  • Avondale, AZ
National Provider Identifier
1699937037
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AVONDALE CHIROPRACTIC CLINIC
Practice address
13050 W Rancho Santa Fe Blvd
Ste B-5
Avondale, AZ 85392-1756
Phone
(623) 535-8984
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Sky MooreNPI 1053473009
Title
Owner
Phone
(623) 535-8984

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

13050 W Rancho Santa Fe Blvd
Ste B-5
Avondale, AZ 85392-1756

Mailing address

13050 W Rancho Santa Fe Blvd
Ste B-5
Avondale, AZ 85392-1756
Phone (623) 535-8984

National Provider Directory

National Provider Directory

Locations

13050 W Rancho Santa Fe Blvd
Ste B5
Avondale, AZ 85392
Phone (623) 535-8984

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1699937037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 W RANCHO SANTA FE BLVD",
            "address_2": "STE B-5",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921756",
            "telephone_number": "623-535-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 W RANCHO SANTA FE BLVD",
            "address_2": "STE B-5",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921756",
            "telephone_number": "623-535-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-535-8984"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.