NPIMap

Individual provider Active NPI

Justin Thompson, D.C

  • Chiropractor
  • Anthem, AZ
National Provider Identifier
1851797179
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8503 Issued in AZ
Practice address
3624 W Anthem Way Ste C110
Anthem, AZ 85086-0456
Phone
(623) 551-9950
Fax
(623) 551-2454
NPI assigned
Nov 13, 2014
Last updated
Nov 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9200562-1202 UT
Chiropractor 111N00000X 8503 AZ Primary

Addresses

Primary practice location

3624 W Anthem Way Ste C110
Anthem, AZ 85086-0456

Mailing address

3624 W Anthem Way Ste C110
Anthem, AZ 85086-0456
Phone (623) 551-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9200562-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine of Gilbert LLC Single Specialty PastSince Mar 13, 2019 Accepting new patients
Apr DME LLC PastSince Jan 3, 2018 Accepting new patients
Western Med Group LLC Chiropractor PastSince Feb 3, 2021 Accepting new patients
Physical Medicine of Chandler LLC Single Specialty PastSince Sep 1, 2020 Accepting new patients
Apr DME LLC PastSince Apr 13, 2019 Accepting new patients

Organizations & group practices 7

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1851797179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY STE C110",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860456",
            "telephone_number": "623-551-9950",
            "fax_number": "623-551-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W ANTHEM WAY STE C110",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860456",
            "telephone_number": "623-551-9950",
            "fax_number": "623-551-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "9200562-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.