Organization Active NPI

Core Chiropractic LLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1750761920
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7452 Issued in AZ
Legal business name
CORE CHIROPRACTIC LLC
Practice address
2665 E Broadway Rd
Suite B112
Mesa, AZ 85204-1572
Phone
(480) 221-3603
Fax
(480) 610-5433
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Kori Sprintz, D.C.
Title
Co-Owner
Phone
(480) 221-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 7452 AZ Primary

Addresses

Primary practice location

2665 E Broadway Rd
Suite B112
Mesa, AZ 85204-1572

Mailing address

2665 E Broadway Rd
Suite B112
Mesa, AZ 85204-1572
Phone (480) 221-3603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151207000641 AZ Part B Supplier - Clinic/Group Practice 9739489212 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

2665 E Broadway Rd
Ste B11
Mesa, AZ 85204

2665 E Broadway Rd
Ste B112
Mesa, AZ 85204
Phone (480) 221-3603

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": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1750761920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 E BROADWAY RD",
            "address_2": "SUITE B112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041572",
            "telephone_number": "480-221-3603",
            "fax_number": "480-610-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 E BROADWAY RD",
            "address_2": "SUITE B112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041572",
            "telephone_number": "480-221-3603",
            "fax_number": "480-610-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "SPRINTZ",
        "authorized_official_first_name": "KORI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-221-3603",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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