Organization Active NPI

Fountain Hills Family Chiropractic & Rehab, LLC

  • Chiropractor
  • Fountain Hills, AZ
National Provider Identifier
1710204201
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOUNTAIN HILLS FAMILY CHIROPRACTIC & REHAB, LLC
Practice address
17100 E Shea Blvd
Suite 320
Fountain Hills, AZ 85268-6625
Phone
(480) 816-8300
Fax
(480) 816-4016
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Josh Bock, DC
Title
Owner
Phone
(480) 726-2287

Specialties & licenses 1

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

Addresses

Primary practice location

17100 E Shea Blvd
Suite 320
Fountain Hills, AZ 85268-6625

Mailing address

1839 S Alma School Rd
Ste 354
Mesa, AZ 85210-3023
Phone (480) 726-2287

National Provider Directory

National Provider Directory

Locations

17100 E Shea Blvd
Ste 320
Fountain Hls, AZ 85268
Phone (480) 816-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1710204201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S ALMA SCHOOL RD",
            "address_2": "STE 354",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103023",
            "telephone_number": "480-726-2287",
            "fax_number": "480-821-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 E SHEA BLVD",
            "address_2": "SUITE 320",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686625",
            "telephone_number": "480-816-8300",
            "fax_number": "480-816-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HILLS FAMILY CHIROPRACTIC & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-726-2287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.