Organization Active NPI

On the Road Chiropractic, LLC

  • Chiropractor
  • Joseph City, AZ
National Provider Identifier
1861701898
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ON THE ROAD CHIROPRACTIC, LLC
Practice address
4511 Main St
Joseph City, AZ 86032
Phone
(928) 288-9033
NPI assigned
Sep 24, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. Jason Lee Mulder, DC
Title
Owner Manager
Phone
(928) 288-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4511 Main St
Joseph City, AZ 86032

Mailing address

4511 Main St
Joseph City, AZ 86032
Phone (928) 288-9033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1861701898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 MAIN ST",
            "city": "JOSEPH CITY",
            "state": "AZ",
            "postal_code": "86032",
            "telephone_number": "928-288-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 MAIN ST",
            "city": "JOSEPH CITY",
            "state": "AZ",
            "postal_code": "86032",
            "telephone_number": "928-288-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE ROAD CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "928-288-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joseph City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.