Active NPI
Noe Mendes Carranza, D.C.
- Chiropractor
- Glendale, AZ
National Provider Identifier
1790045342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8264
- Practice address
- 4494 W Peoria Ave
Suite #116
Glendale, AZ 85302-2023 - Phone
- (623) 252-1512
- NPI assigned
- May 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8264 | AZ | Primary |
Addresses
Primary practice location
4494 W Peoria Ave
Suite #116
Glendale, AZ 85302-2023
Mailing address
1805 N 91St Ave Ste 101
Phoenix, AZ 85037-4051
Phone (623) 252-1512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8264 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy, LLC | Current | Accepting new patients | |
| Advanced Technology Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1205593738
-
- Chiropractor
- Glendale, AZ
- NPI 1336497643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1790045342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 N 91ST AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850374051",
"telephone_number": "623-252-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 W PEORIA AVE",
"address_2": "SUITE #116",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022023",
"telephone_number": "623-252-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRANZA",
"first_name": "NOE",
"middle_name": "MENDES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.