Dr. Sergio Nino Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8019 Issued in AZ

Legal business name

DR. SERGIO NINO LIFE CHIROPRACTIC

Practice address

2333 W Northern Ave Ste 1B
Phoenix, AZ 85021-9348

Phone

(602) 995-4336

Fax

(602) 995-4340

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Nino, D.C.NPI 1295755593

Title

Chiropractor/Owner

Phone

(602) 995-4336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Nino, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1295755593
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1851317259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W NORTHERN AVE STE 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219348",
            "telephone_number": "602-995-4336",
            "fax_number": "602-995-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W NORTHERN AVE STE 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219348",
            "telephone_number": "602-995-4336",
            "fax_number": "602-995-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SERGIO NINO LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "NINO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "602-995-4336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8019",
            "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 Jan 26, 2015; 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.