Active NPI
Az Neuromuscular Therapy, LLC
- Chiropractor
- Tempe, AZ
National Provider Identifier
1710459664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- AZ NEUROMUSCULAR THERAPY, LLC
- Practice address
- 3231 S Country Club Way Ste 108
Tempe, AZ 85282-4053 - Phone
- (480) 831-0700
- NPI assigned
- Dec 17, 2018
- Last updated
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon M Wheat, DC
- Title
- Owner
- Phone
- (602) 980-4719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
3231 S Country Club Way Ste 108
Tempe, AZ 85282-4053
Mailing address
5695 E Saguaro Rd
Cave Creek, AZ 85331-8152
Phone (602) 980-4719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518310427 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- Kirkland, WA
- NPI 1518310473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1710459664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5695 E SAGUARO RD",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853318152",
"telephone_number": "602-980-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 S COUNTRY CLUB WAY STE 108",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852824053",
"telephone_number": "480-831-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ NEUROMUSCULAR THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-17",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "WHEAT",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-980-4719",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518310427",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.