NPIMap

Organization Active NPI

Precision Spinal Fitness LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1740435866
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7601 Issued in AZ
Legal business name
PRECISION SPINAL FITNESS LLC
Practice address
1327 E Chandler Blvd Ste 106
Phoenix, AZ 85048-6272
Phone
(480) 460-1177
Fax
(480) 460-1114
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mr. Michael Alan Henriksen, DCNPI 1952489486
Title
Owner
Phone
(480) 460-1177

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7601 AZ Primary

Addresses

Primary practice location

1327 E Chandler Blvd Ste 106
Phoenix, AZ 85048-6272

Mailing address

1327 E Chandler Blvd Ste 106
Phoenix, AZ 85048-6272
Phone (480) 460-1177

Other identifiers 1

IdentifierTypeStateIssuer
1952489486OtherAZTYPE 2

Other names 1

  • Spinal Correction Center Doing business as

National Provider Directory

National Provider Directory

Locations

1327 E Chandler Blvd
Ste 106
Phoenix, AZ 85048
Phone (480) 460-1177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1740435866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E CHANDLER BLVD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486272",
            "telephone_number": "480-460-1177",
            "fax_number": "480-460-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E CHANDLER BLVD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850486272",
            "telephone_number": "480-460-1177",
            "fax_number": "480-460-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPINAL FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HENRIKSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-460-1177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2",
            "identifier": "1952489486",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Correction Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.