Organization Active NPI

Surprise Chiropractic Group, L.L.C.

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1700835303
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7337 Issued in AZ
Legal business name
SURPRISE CHIROPRACTIC GROUP, L.L.C.
Practice address
14545 W Grand Ave
Suite # A106
Surprise, AZ 85374-7278
Phone
(623) 544-9111
Fax
(623) 544-9333
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Louis Victor Verloop, D.C.NPI 1760667752
Title
Owner/Manager
Phone
(623) 544-9111

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 7337 AZ Primary

Addresses

Primary practice location

14545 W Grand Ave
Suite # A106
Surprise, AZ 85374-7278

Mailing address

14545 W Grand Ave
Suite # A106
Surprise, AZ 85374-7278
Phone (623) 544-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000562 AZ Part B Supplier - Clinic/Group Practice 4587563705 Receives reassigned benefits from 2 practitioners
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Locations

14515 W Grand Ave
Ste C128
Surprise, AZ 85374
Phone (623) 544-9111

14545 W Grand Ave
Ste A106
Surprise, AZ 85374
Phone (623) 544-9111

Practitioners & affiliated clinicians

Practitioners 4

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1700835303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE",
            "address_2": "SUITE # A106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747278",
            "telephone_number": "623-544-9111",
            "fax_number": "623-544-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE",
            "address_2": "SUITE # A106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747278",
            "telephone_number": "623-544-9111",
            "fax_number": "623-544-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE CHIROPRACTIC GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "VERLOOP",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "623-544-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.