Local Chiropractic Studio, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LOCAL CHIROPRACTIC STUDIO, LLC

Practice address

1955 S Val Vista Dr Ste 126
Mesa, AZ 85204-7372

Phone

(480) 944-2434

Fax

(630) 388-0639

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Dalesa Clay

Title

Credentialing Manager

Phone

(480) 570-5423

Specialties & licenses 2

Addresses

Other names 1

• Local Wellness Lounge Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Local Chiropractic Studio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Local Chiropractic Studio, LLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1316751274
  NPD tax ID

Locations

Practitioners 3

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

• Jeffrey John Rebarcak, D.C.

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1003902560
  Medicare reassignment Care Compare group NPD
• Shaun Hampton, N.P.

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1093261497
  Medicare reassignment Care Compare group
• Jason Buchkowski, DC

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1790871291
  NPD (past)

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1760296271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 S VAL VISTA DR STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047372",
            "telephone_number": "480-944-2434",
            "fax_number": "630-388-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 S VAL VISTA DR STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047372",
            "telephone_number": "480-944-2434",
            "fax_number": "630-388-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL CHIROPRACTIC STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "DALESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-570-5423"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Local Wellness Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donnesha Lloyd, RBT
• Kimberly Lloyd
• Heather Lober, MS, LMFT
• Alexander Richard Lobert, D.M.D.
• Local Chiropractic Studio, LLC
• Mariah Locke, BCBA
• Denise Rachelle Lockett
• Barbara Lynne Lockwood, NP
• Julie Lockwood, M.D.
• Erum Lodhi, MD

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.