Individual provider Active NPI

Lisa Marie Montez-Wood, D.C.

  • Chiropractor
  • Fountain Hills, AZ
National Provider Identifier
1801890512
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5223 Issued in AZ
Practice address
16930 E Palisades Blvd Ste 104
Fountain Hills, AZ 85268-4006
Phone
(480) 837-4444
Fax
(480) 837-4874
NPI assigned
Jun 9, 2005
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5223 AZ Primary

Addresses

Primary practice location

16930 E Palisades Blvd Ste 104
Fountain Hills, AZ 85268-4006

Mailing address

16930 E Palisades Blvd Ste 104
Fountain Hills, AZ 85268-4006
Phone (480) 837-4444

Other identifiers 2

IdentifierTypeStateIssuer
Z71315OtherAZMEDICARE ID - DR'S
AZ0936000OtherAZBLUE CROSS BLUE SHIELD #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@drlisaaz.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000557 AZ Practitioner - Chiropractic 6507841574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Sports Chiropractic Current Accepting new patients
Dr Christopher R Wood PC Current Accepting new patients
Palisades Family Chiropractic Wellness Center Inc Chiropractor CurrentSince Aug 29, 2002 Accepting new patients

Locations

16425 E Palisades Blvd
Ste 105
Fountain Hls, AZ 85268
Phone (480) 837-4444

16930 E Palisades Blvd
Ste 104
Fountain Hls, AZ 85268
Phone (480) 837-4444

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1801890512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16930 E PALISADES BLVD STE 104",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684006",
            "telephone_number": "480-837-4444",
            "fax_number": "480-837-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 E PALISADES BLVD STE 104",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684006",
            "telephone_number": "480-837-4444",
            "fax_number": "480-837-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEZ-WOOD",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - DR'S",
            "identifier": "Z71315",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "AZ0936000",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@drlisaaz.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16930 E Palisades Blvd Ste 104",
            "city": "Fountain Hills",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852684006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.