Modern Chiropractic Company PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MODERN CHIROPRACTIC COMPANY PLLC

Practice address

670 N 54TH St Ste 1
Chandler, AZ 85226-1529

Phone

(480) 701-8201

Fax

(480) 701-8201

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lewis Tadd Terry, DC

Title

Owner

Phone

(480) 701-8201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1881293058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N 54TH ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261529",
            "telephone_number": "480-701-8201",
            "fax_number": "480-701-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N 54TH ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261529",
            "telephone_number": "480-701-8201",
            "fax_number": "480-701-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC COMPANY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "TADD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-701-8201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.