Organization Active NPI

Integrity Family Wellness

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1730562638
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8406 Issued in AZ
Legal business name
INTEGRITY FAMILY WELLNESS
Practice address
16485 N Stadium Way
3001
Surprise, AZ 85374-4376
Phone
(219) 218-9906
NPI assigned
Jul 9, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dr. Shenita Staggers, DCNPI 1174769236
Title
President
Phone
(219) 218-9906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8406 AZ Primary

Addresses

Primary practice location

16485 N Stadium Way
3001
Surprise, AZ 85374-4376

Mailing address

16485 N Stadium Way
3001
Surprise, AZ 85374-4376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819007885 AZ Part B Supplier - Clinic/Group Practice 0941515969 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City West, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1730562638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16485 N STADIUM WAY",
            "address_2": "3001",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16485 N STADIUM WAY",
            "address_2": "3001",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744376",
            "telephone_number": "219-218-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "STAGGERS",
        "authorized_official_first_name": "SHENITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-218-9906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.