Organization Active NPI

Peak Performance Chiropractic and Sports Injury Center, LLC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1730422288
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7562 Issued in AZ
Legal business name
PEAK PERFORMANCE CHIROPRACTIC AND SPORTS INJURY CENTER, LLC
Practice address
8630 E Via de Ventura
Ste 210
Scottsdale, AZ 85258-3326
Phone
(480) 767-3300
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Sophie Brodeur, D.C.
Title
Owner/Chiropractor
Phone
(480) 767-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7562 AZ Primary

Addresses

Primary practice location

8630 E Via de Ventura
Ste 210
Scottsdale, AZ 85258-3326

Mailing address

8630 E Via de Ventura
Ste 210
Scottsdale, AZ 85258-3326
Phone (480) 767-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1730422288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA",
            "address_2": "STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583326",
            "telephone_number": "480-767-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA",
            "address_2": "STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583326",
            "telephone_number": "480-767-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE CHIROPRACTIC AND SPORTS INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "BRODEUR",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-767-3300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.