NPIMap

Organization Active NPI

Adio Ahwatukee LLC

Doing business as Body Shape solutions

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1861817645
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4097 Issued in AZ
Legal business name
ADIO AHWATUKEE LLC
Doing business as
Body Shape solutions
Practice address
4450 S Rural Rd
BLDG B Suite 132
Tempe, AZ 85282-7037
Phone
(480) 598-6367
NPI assigned
Mar 3, 2014
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Keith Michael Smith, DCNPI 1912963836
Title
Owner
Phone
(480) 598-6367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4097 AZ Primary

Addresses

Primary practice location

4450 S Rural Rd
BLDG B Suite 132
Tempe, AZ 85282-7037

Mailing address

4450 S Rural Rd
BLDG B Suite 132
Tempe, AZ 85282-7037
Phone (480) 598-6367

Other identifiers 1

IdentifierTypeStateIssuer
1912963836OtherNPI

Other names 1

  • Body Shape solutions Doing business as

National Provider Directory

National Provider Directory

Locations

4450 S Rural Rd
Bldg B
Tempe, AZ 85282
Phone (480) 598-6367

4450 S Rural Rd
Ste B132
Tempe, AZ 85282
Phone (480) 598-6367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1861817645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD",
            "address_2": "BLDG B SUITE 132",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827037",
            "telephone_number": "480-598-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD",
            "address_2": "BLDG B SUITE 132",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827037",
            "telephone_number": "480-598-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIO AHWATUKEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-598-6367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912963836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Shape solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.