Organization Active NPI

Chirotrendz LLC

  • Chiropractor
  • Queen Creek, AZ
National Provider Identifier
1881087567
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8350 Issued in AZ
Legal business name
CHIROTRENDZ LLC
Doing business as
ChiroTrendz Family Chiropractic and Wellness Center
Practice address
18610 E Rittenhouse Rd Ste A101
Queen Creek, AZ 85142-4503
Phone
(480) 999-4700
Fax
(480) 999-4700
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Dr. Kolby Wolfley, DCNPI 1477945293
Title
Owner/Chiropractor
Phone
(480) 999-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8350 AZ Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8456 AZ
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 8350 AZ

Addresses

Primary practice location

18610 E Rittenhouse Rd Ste A101
Queen Creek, AZ 85142-4503

Mailing address

18610 E Rittenhouse Rd Ste A101
Queen Creek, AZ 85142-4503
Phone (480) 999-4700

Other practice location 1

22711 S Ellsworth Rd
Suite #106
Queen Creek, AZ 85142-6788
Phone (480) 264-6800

Other names 1

  • ChiroTrendz Family Chiropractic and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150619000313 AZ Part B Supplier - Clinic/Group Practice 0143541920 Receives reassigned benefits from 1 practitioner
Practice locations: Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

18610 E Rittenhouse Rd
#A101
Queen Creek, AZ 85142
Phone (480) 999-4700

18610 E Rittenhouse Rd
Ste A101
Queen Creek, AZ 85142
Phone (480) 999-4700

22711 S Ellsworth Rd
Ste 106
Queen Creek, AZ 85142
Phone (480) 264-6800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1881087567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 E RITTENHOUSE RD STE A101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424503",
            "telephone_number": "480-999-4700",
            "fax_number": "480-999-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 E RITTENHOUSE RD STE A101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424503",
            "telephone_number": "480-999-4700",
            "fax_number": "480-999-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22711 S Ellsworth Rd",
            "address_2": "Suite #106",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851426788",
            "country_code": "US",
            "telephone_number": "480-264-6800",
            "fax_number": "480-300-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIROTRENDZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "WOLFLEY",
        "authorized_official_first_name": "KOLBY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-999-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8350",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8456",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "8350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroTrendz Family Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChiroTrendz Family Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.