Active NPI
North Valley Chiropractic Center PC
- Health Service Clinic/Center
- Phoenix, AZ
National Provider Identifier
1881945517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 2002
- Legal business name
- NORTH VALLEY CHIROPRACTIC CENTER PC
- Practice address
- 4545 E Shea Blvd
Ste 174
Phoenix, AZ 85028-3074 - Phone
- (602) 867-1797
- Fax
- (602) 254-6735
- NPI assigned
- Sep 20, 2012
- Last updated
- Jan 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall E Bridges, DC
- Title
- Owner
- Phone
- (602) 867-1797
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 2002 | AZ | Primary |
Addresses
Primary practice location
4545 E Shea Blvd
Ste 174
Phoenix, AZ 85028-3074
Mailing address
4545 E Shea Blvd
Ste 174
Phoenix, AZ 85028-3074
Phone (602) 867-1797
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Phoenix, AZ
- NPI 1356379077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358812800000",
"number": "1881945517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E SHEA BLVD",
"address_2": "STE 174",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283074",
"telephone_number": "602-867-1797",
"fax_number": "602-254-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E SHEA BLVD",
"address_2": "STE 174",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283074",
"telephone_number": "602-867-1797",
"fax_number": "602-254-6735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VALLEY CHIROPRACTIC CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-20",
"last_updated": "2013-01-22",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-867-1797",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "AZ",
"license": "2002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- North Star Pediatric Therapy
- North Valley Anesthesia Consultants, LTD
- North Valley Assisted Living L.L.C
- North Valley Center for Oral and Implant Surgery
- North Valley Center for Oral and Implant Surgery, P.C.
- North Valley Ear, Nose & Throat Associates, P.C
- North Valley Endodontics, P.a. (Valley Endodontic Specialty Group)
- North Valley Endoscopy Center LLC
- North Valley Eye Care PC
- North Valley Family Dentist (AZ Cosmetic & Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.