Organization Active NPI

Tanque Verde Chiropractic Clinic P.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1770703084
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4880 Issued in AZ
Legal business name
TANQUE VERDE CHIROPRACTIC CLINIC P.C.
Practice address
9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749-8173
Phone
(520) 749-2929
Fax
(520) 749-8391
NPI assigned
Apr 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Michael Joseph Stone, DC, DABCINPI 1306060314
Title
Doctor
Phone
(520) 749-2929

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4880 AZ Primary
Internist Chiropractor 111NI0900X 4880 AZ
Nutrition Chiropractor 111NN1001X 4880 AZ

Addresses

Primary practice location

9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749-8173

Mailing address

9100 E Tanque Verde Rd Ste 140
Tucson, AZ 85749-8173
Phone (520) 749-2929

Other identifiers 1

IdentifierTypeStateIssuer
AZ0241060OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120801000306 AZ Part B Supplier - Clinic/Group Practice 5395901672 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

9100 E Tanque Verde Rd
Tucson, AZ 85749
Phone (520) 749-2929

9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749
Phone (520) 749-2929

Practitioners & affiliated clinicians

Practitioners 1

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770703084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 E TANQUE VERDE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498173",
            "telephone_number": "520-749-2929",
            "fax_number": "520-749-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 E TANQUE VERDE RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498173",
            "telephone_number": "520-749-2929",
            "fax_number": "520-749-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANQUE VERDE CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "520-749-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DABCI"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4880",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "AZ",
            "license": "4880",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "4880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0241060",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.