Organization Active NPI

New Life Chiropractic, LTD.

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1780955013
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3792 Issued in AZ
Legal business name
NEW LIFE CHIROPRACTIC, LTD.
Practice address
172 E Merritt St
Ste. B
Prescott, AZ 86301-2026
Phone
(928) 445-5818
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Salvatore JordanoNPI 1770672107
Title
President
Phone
(928) 445-5818

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 3792 AZ Primary

Addresses

Primary practice location

172 E Merritt St
Ste. B
Prescott, AZ 86301-2026

Mailing address

172 E Merritt St
Ste. B
Prescott, AZ 86301-2026
Phone (928) 445-5818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000771 AZ Part B Supplier - Clinic/Group Practice 4183881790 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

172 E Merritt St
Ste B
Prescott, AZ 86301
Phone (928) 445-5818

520 W Sheldon St
Ste 3
Prescott, AZ 86301
Phone (928) 445-5818

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1780955013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E MERRITT ST",
            "address_2": "STE. B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012026",
            "telephone_number": "928-445-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E MERRITT ST",
            "address_2": "STE. B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012026",
            "telephone_number": "928-445-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "JORDANO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-445-5818"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.