Northwest Foothills Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5141 Issued in AZ

Legal business name

NORTHWEST FOOTHILLS INC.

Practice address

550 W Ina Rd Ste 1
Tucson, AZ 85704-4496

Phone

(520) 742-7785

Fax

(520) 797-3200

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eric Allen Lane, D.C.NPI 1205968302

Title

Owner

Phone

(520) 219-8503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Eric Allen Lane, D.C.

  • Chiropractor
  • Tucson, AZ
  • NPI 1205968302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1760629463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W INA RD STE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044496",
            "telephone_number": "520-742-7785",
            "fax_number": "520-797-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W INA RD STE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044496",
            "telephone_number": "520-742-7785",
            "fax_number": "520-797-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FOOTHILLS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-219-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.