Madera Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MADERA CHIROPRACTIC PLLC

Practice address

560 E Continental Rd Unit 102
Green Valley, AZ 85614-1825

Phone

(520) 849-5706

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

James Dever, D.C.

Title

Owner

Phone

(480) 558-6106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1841815552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 E CONTINENTAL RD UNIT 102",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E CONTINENTAL RD UNIT 102",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141825",
            "telephone_number": "520-849-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "DEVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-558-6106",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Lynch, PT, DPT, CERT DN
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• Cynthia Maciak, RPH
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• Estabraq Shakir Mahmood, PHARMACIST
• Natalia I Makarova, DMD
• Angelica Marie Maldonado, PT, DPT
• Nicholas E Mancuso, DMD

• Chiropractor in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.