NPIMap

Organization Active NPI

Arizona Center for Funtional Medicine

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1821363342
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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.NPI 1013097930
Title
President/Owner
Phone
(602) 485-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AZ Primary

Addresses

Primary practice location

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

Mailing address

16421 N Tatum Blvd
Suite, 203
Phoenix, AZ 85032-3454
Phone (602) 485-8000

National Provider Directory

National Provider Directory

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": "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": []
}

Other providers in Phoenix, AZ

Sources for this page

  • 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.