Organization Active NPI

Chiropractic Health Innovations, PLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1801075866
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4344 Issued in AZ
Legal business name
CHIROPRACTIC HEALTH INNOVATIONS, PLC
Practice address
7254 E Southern Ave
Suite 113
Mesa, AZ 85209-2786
Phone
(480) 807-1324
Fax
(480) 807-1338
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Dr. David Wayne Shiflet, D.C.NPI 1275568719
Title
Owner
Phone
(480) 807-1324

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 4344 AZ Primary

Addresses

Primary practice location

7254 E Southern Ave
Suite 113
Mesa, AZ 85209-2786

Mailing address

7254 E Southern Ave
Suite 113
Mesa, AZ 85209-2786
Phone (480) 807-1324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000094 AZ Part B Supplier - Clinic/Group Practice 7012925332 Receives reassigned benefits from 4 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1801075866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "SUITE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "480-807-1324",
            "fax_number": "480-807-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "SUITE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "480-807-1324",
            "fax_number": "480-807-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH INNOVATIONS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "SHIFLET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-807-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.