Organization Active NPI

At Home Chiropractic PLLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1770917643
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8192 Issued in AZ
Legal business name
AT HOME CHIROPRACTIC PLLC
Practice address
4255 E Pecos Rd
#3016
Gilbert, AZ 85295-7832
Phone
(480) 440-3994
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Sean Rome Mackenzie, DCNPI 1699053926
Title
Doctor/Owner
Phone
(480) 440-3994

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 8192 AZ Primary

Addresses

Primary practice location

4255 E Pecos Rd
#3016
Gilbert, AZ 85295-7832

Mailing address

4255 E Pecos Rd
#3016
Gilbert, AZ 85295-7832
Phone (480) 440-3994

National Provider Directory

National Provider Directory

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": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1770917643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 E PECOS RD",
            "address_2": "#3016",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957832",
            "telephone_number": "480-440-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 E PECOS RD",
            "address_2": "#3016",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957832",
            "telephone_number": "480-440-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ROME",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "480-440-3994",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.