Chad Vinton Ellis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5644 Issued in AZ

Practice address

2040 E Bell Rd
Phoenix, AZ 85022-2963

Phone

(602) 938-9000

Fax

(602) 493-3208

NPI assigned

Jul 14, 2007

Last updated

Jul 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chino Valley Chiropractic ClinicGroup PAC ID 2466444278, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chino Valley Chiropractic Clinic

  dba Bowen Chiropractic and Wellness Center

  • Sports Physician Chiropractor
  • Chino Valley, AZ
  • NPI 1477736759
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1720287246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222963",
            "telephone_number": "602-938-9000",
            "fax_number": "602-493-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222963",
            "telephone_number": "602-938-9000",
            "fax_number": "602-493-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHAD",
        "middle_name": "VINTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elliott, LPN
• Nicole Elliott, LPC
• Sheila Lorene Elliott
• Amy L Ellis, MNS CCC SLP
• Bobby Ellis
• Christopher Ray Ellis, PT
• Courtney Ellis
• Jason Dean Ellis, LMFT
• Justin James Ellis
• Kathryn Janet Ellis, DPT

• 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 Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.