Phoenix Life Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

875 Issued in AZ

Legal business name

PHOENIX LIFE CENTER INC

Practice address

3650 W Bethany Home Rd
Phoenix, AZ 85019-1967

Phone

(602) 973-6609

Fax

(602) 973-0067

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James M Diana, DCNPI 1275631079

Title

Owner

Phone

(602) 973-6609

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Diana

  • Chiropractor
  • Phoenix, AZ
  • NPI 1275631079
  Medicare reassignment Care Compare group NPD Authorized official
• Cynthia Anne Diana

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1942383633

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Kimberly Anne Diana-Brooks, D.O.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1801906789
  NPD (past)
• Kalpana Jones, M.D.

  • Family Medicine Physician
  • Granville, OH
  • NPI 1265608004
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1700061355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191967",
            "telephone_number": "602-973-6609",
            "fax_number": "602-973-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191967",
            "telephone_number": "602-973-6609",
            "fax_number": "602-973-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX LIFE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "DIANA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-973-6609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Internal Medicine Group PLC
• Phoenix Interventional Pain Management, PLLC
• Phoenix Jewish Community Kivel Nursing Home
• Phoenix Kidney Specialists PLLC
• Phoenix Lab & Ancillary Services
• Phoenix Medical Collaborative LLC
• Phoenix Medical Imaging
• Phoenix Medical Legal Consultants
• Phoenix Medical Psychiatric Hospital, LLC
• Phoenix Medical Solutions LLC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.