Individual provider Active NPI

Debbie Canales

  • Massage Therapist
  • Sun City, AZ
National Provider Identifier
1710658604
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-15168 Issued in AZ
Practice address
10404 W Coggins Dr Ste 114
Sun City, AZ 85351-3465
Phone
(623) 972-2258
Fax
(623) 875-8020
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-15168 AZ Primary

Addresses

Primary practice location

10404 W Coggins Dr Ste 114
Sun City, AZ 85351-3465

Mailing address

10404 W Coggins Dr Ste 114
Sun City, AZ 85351-3465
Phone (623) 972-2258

Other identifiers 1

IdentifierTypeStateIssuer
1326068297MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-15168AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K & Q Allied Chiropractic Inc. CurrentSince Sep 28, 2021 Accepting new patients

Locations

10404 W Coggins Dr
Ste 114
Sun City, AZ 85351
Phone (623) 972-2258

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1710658604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 W COGGINS DR STE 114",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513465",
            "telephone_number": "623-972-2258",
            "fax_number": "623-875-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W COGGINS DR STE 114",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513465",
            "telephone_number": "623-972-2258",
            "fax_number": "623-875-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "DEBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-15168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326068297",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.