Organization Active NPI

First Choice Chiropractic PLLC

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1902051923
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIRST CHOICE CHIROPRACTIC PLLC
Practice address
7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Phone
(623) 512-4040
Fax
(623) 512-4043
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Tiffany Harris, D.C.
Title
Owner
Phone
(623) 512-4040

Specialties & licenses 1

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

Addresses

Primary practice location

7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102

Mailing address

7717 W Deer Valley Rd
Suite 135
Peoria, AZ 85382-2102
Phone (623) 512-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090226000284 AZ Part B Supplier - Clinic/Group Practice 0244396224 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

21448 N 75th Ave
Ste 1
Glendale, AZ 85308
Phone (623) 213-7166

Practitioners & affiliated clinicians

Practitioners 1

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1902051923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 W DEER VALLEY RD",
            "address_2": "SUITE 135",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822102",
            "telephone_number": "623-512-4040",
            "fax_number": "623-512-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 W DEER VALLEY RD",
            "address_2": "SUITE 135",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822102",
            "telephone_number": "623-512-4040",
            "fax_number": "623-512-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-512-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.