Organization Active NPI

Sally Quick DC PLLC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1811184625
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4701 Issued in AZ
Legal business name
SALLY QUICK DC PLLC
Practice address
4715 N 1St Ave
Tucson, AZ 85718-5610
Phone
(520) 408-5287
Fax
(520) 690-0266
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mr. Edward Sanford Tobin IV
Title
Office Manager
Phone
(520) 408-5287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4701 AZ Primary

Addresses

Primary practice location

4715 N 1St Ave
Tucson, AZ 85718-5610

Mailing address

4715 N 1St Ave
Tucson, AZ 85718-5610
Phone (520) 408-5287

Other identifiers 4

IdentifierTypeStateIssuer
124149OtherAZHEALTHNET INS COMPANY
663627OtherAZAM CHIROPRACTIC NETWORK
4701OtherAZAZ CHIROPRACTIC LICENSE
AZ0945040OtherAZBLUECROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4715 N 1st Ave
Tucson, AZ 85718
Phone (520) 408-5287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1811184625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-408-5287",
            "fax_number": "520-690-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185610",
            "telephone_number": "520-408-5287",
            "fax_number": "520-690-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY QUICK DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SANFORD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-408-5287",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INS COMPANY",
            "identifier": "124149",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM CHIROPRACTIC NETWORK",
            "identifier": "663627",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ CHIROPRACTIC LICENSE",
            "identifier": "4701",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "AZ0945040",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.