Individual provider Active NPI

Michone Ouellette, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1831274448
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7503 Issued in AZ
Practice address
1140 N Higley Rd Ste 102
Mesa, AZ 85205-5395
Phone
(480) 830-8250
Fax
(480) 830-5970
NPI assigned
Oct 25, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7503 AZ Primary
Chiropractor 111N00000X DC 26465 CA

Addresses

Primary practice location

1140 N Higley Rd Ste 102
Mesa, AZ 85205-5395

Mailing address

1140 N Higley Rd Ste 102
Mesa, AZ 85205-5395
Phone (480) 830-8250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000840 AZ Practitioner - Chiropractic 8921075904 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 26465CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Afc of Peoria, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Afc of Tempe PLLC CurrentSince Jun 14, 2021 Accepting new patients
Afc of Surprise, PLLC CurrentSince Aug 15, 2021 Accepting new patients
Afc Physical Medicine of San Tan Valley, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Afc Physical Medicine of Gilbert, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Afc of Phoenix, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Afc Physical Medicine of Mesa, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Afc Physical Medicine of Desert Ridge,PLLC CurrentSince Jun 14, 2021 Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients

Locations

3011 S Lindsay Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 726-2500

1839 S Alma School Rd
Mesa, AZ 85210
Phone (708) 612-1170

1839 S Alma School Rd
Ste 354
Mesa, AZ 85210

3130 E Baseline Rd
Ste 107
Mesa, AZ 85204
Phone (480) 345-1980

15256 N 75th Ave
Ste 360
Peoria, AZ 85381
Phone (623) 412-1259

1277 E Missouri Ave
Ste 101
Phoenix, AZ 85014
Phone (602) 296-4060

20860 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 563-1144

270 E Hunt Hwy
Ste A2
San Tan Vly, AZ 85143
Phone (480) 882-2222

14239 W Bell Rd
Ste 108
Surprise, AZ 85374
Phone (623) 248-4283

2145 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 644-9443

Organizations & group practices 10

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1831274448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N HIGLEY RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055395",
            "telephone_number": "480-830-8250",
            "fax_number": "480-830-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N HIGLEY RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055395",
            "telephone_number": "480-830-8250",
            "fax_number": "480-830-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "MICHONE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7503",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26465",
            "primary": false
        }
    ],
    "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 Jan 31, 2008; 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.