Palisades Family Chiropractic Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5223 Issued in AZ

Legal business name

PALISADES FAMILY CHIROPRACTIC WELLNESS CENTER INC

Practice address

16930 E Palisades Blvd Ste 104
Fountain Hills, AZ 85268-4006

Phone

(480) 837-4444

Fax

(480) 837-4874

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Marie Montez-Wood, DCNPI 1801890512

Title

President

Phone

(480) 837-4444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Lisa Marie Montez-Wood, D.C.

  • Chiropractor
  • Fountain Hills, AZ
  • NPI 1801890512
  Medicare reassignment NPD Authorized official
• Emilie Friederike Doak, N.M.D

  • Naturopath
  • Fountain Hills, AZ
  • NPI 1396979142
  NPD (past)
• Douglas Ryan Schultz, D.C.

  • Chiropractor
  • Fountain Hills, AZ
  • NPI 1164605507
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1891799516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16930 E PALISADES BLVD STE 104",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684006",
            "telephone_number": "480-837-4444",
            "fax_number": "480-837-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 E PALISADES BLVD STE 104",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852684006",
            "telephone_number": "480-837-4444",
            "fax_number": "480-837-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES FAMILY CHIROPRACTIC WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MONTEZ-WOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-837-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - GROUP",
            "identifier": "Z71314",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "AZ0936000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Specialists of North America PLLC
• Katy-Lynne Osborn, SCHOOL PSYCHOLOGIST
• Arwa Mohamed Osman
• Gary Alexander Osses, M.S. OTR/L
• Pain to Presence Psychotherapy LLC
• Jonghan Park, DMD
• Andrea Parra
• Shital Patel
• Abigail Rose Patinella, M.S. CCC-SLP
• Brian Paulsen, OTR/L

• Chiropractor in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.