NPIMap

Organization Active NPI

Sun Valley Medical Group

  • Chiropractor
  • Avondale, AZ
National Provider Identifier
1871865741
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5917 Issued in AZ
Legal business name
SUN VALLEY MEDICAL GROUP
Practice address
13020 W Rancho Santa Fe Blvd
Suite 101
Avondale, AZ 85392-2002
Phone
(623) 935-7788
NPI assigned
Feb 7, 2012
Organization subpart
Yes
Parent organization
SUN VALLEY MEDICAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Aaron Degroot
Title
Owner
Phone
(623) 935-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5917 AZ Primary

Addresses

Primary practice location

13020 W Rancho Santa Fe Blvd
Suite 101
Avondale, AZ 85392-2002

Mailing address

17215 N 72ND Dr
Suite C-125
Glendale, AZ 85308-8558
Phone (623) 935-7788

Other names 1

  • Sun Valley Medical Group Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun Valley Medical Group2 organizations share this tax ID, including this one
Part of
Sun Valley Medical Group

Other organizations with this tax ID 1

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

Locations

13020 W Rancho Santa Fe Blvd
Ste 101
Avondale, AZ 85392
Phone (623) 444-8801

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1871865741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 N 72ND DR",
            "address_2": "SUITE C-125",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088558",
            "telephone_number": "623-935-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 W RANCHO SANTA FE BLVD",
            "address_2": "SUITE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853922002",
            "telephone_number": "623-935-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN VALLEY MEDICAL GROUP, PC",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "DEGROOT",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-935-7788"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Valley Medical Group Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.