Fuhr Chiropractic Clinic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FUHR CHIROPRACTIC CLINIC PA

Practice address

3714 E Indian School Rd Ste 100
Phoenix, AZ 85018-5107

Phone

(602) 224-0004

Fax

(602) 224-1182

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Eric A Petermann, DCNPI 1649241332

Title

President

Phone

(602) 224-0004

Specialties & licenses 1

Addresses

Other names 1

• Activate Chiropractic Clinic Doing business as

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.

• Eric Petermann, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1649241332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1871370536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 E INDIAN SCHOOL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185107",
            "telephone_number": "602-224-0004",
            "fax_number": "602-224-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 E INDIAN SCHOOL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185107",
            "telephone_number": "602-224-0004",
            "fax_number": "602-224-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUHR CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "PETERMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-224-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activate Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elsa Tamara Fuentes-Velazquez
• Christopher Fuentes
• Joel Fuentes, PA-C
• Khara Fuentes
• Margarett Jane Fugate, LCSW
• Arlan William Fuhr, D.C.
• John Fuhrman II, MD
• Steven W Fujihara, D.O.
• David Minoru Fujii, MD
• Akina Fujimoto

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.