NPIMap

Organization Active NPI

Chiropractic Rehab and Neurology Inc

  • Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1851657753
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5518 Issued in AZ
Legal business name
CHIROPRACTIC REHAB AND NEUROLOGY INC
Practice address
2525 W Carefee Hwy BLD 1 Suite 100
Flagstaff, AZ 85086
Phone
(623) 587-0277
Fax
(623) 587-0270
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Timothy Frank Martin, DCNPI 1104884675
Title
President
Phone
(623) 587-0277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5518 AZ Primary

Addresses

Primary practice location

2525 W Carefee Hwy BLD 1 Suite 100
Flagstaff, AZ 85086

Mailing address

2525 W Carefee Hwy BLD 1 Suite 100
Flagstaff, AZ 85086
Phone (623) 587-0277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000284 AZ Part B Supplier - Clinic/Group Practice 9537321674 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Chiropractic Rehab and Neurology Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2525 W Carefree Hwy
Ste 100
Phoenix, AZ 85085
Phone (623) 587-0272

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1851657753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W CAREFEE HWY BLD 1 SUITE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-587-0277",
            "fax_number": "623-587-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFEE HWY BLD 1 SUITE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-587-0277",
            "fax_number": "623-587-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHAB AND NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-587-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "5518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.