Sonora Spine Care, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7151 Issued in AZ

Legal business name

SONORA SPINE CARE, LLC

Practice address

19428 N John Wayne Pkwy
Ste. F
Maricopa, AZ 85139-2850

Phone

(520) 428-4772

Fax

(520) 333-3161

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

John Pham

Title

Member

Phone

(520) 261-2182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1831536689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD",
            "address_2": "SUITE 8-137",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493600",
            "telephone_number": "520-428-4772",
            "fax_number": "520-333-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19428 N JOHN WAYNE PKWY",
            "address_2": "STE. F",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392850",
            "telephone_number": "520-428-4772",
            "fax_number": "520-333-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA SPINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-261-2182"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.