Arizona Center for Funtional Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ARIZONA CENTER FOR FUNTIONAL MEDICINE

Practice address

16421 N Tatum Blvd
Suite, 203
Phoenix, AZ 85032-3454

Phone

(602) 485-8000

Fax

(602) 485-8010

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Phillip James Fierro, D.C.

Title

President/Owner

Phone

(602) 485-8000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1821363342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD",
            "address_2": "SUITE, 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323454",
            "telephone_number": "602-485-8000",
            "fax_number": "602-485-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD",
            "address_2": "SUITE, 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323454",
            "telephone_number": "602-485-8000",
            "fax_number": "602-485-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTER FOR FUNTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "FIERRO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-485-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.