Individual provider Active NPI

Patricia Carlen Marquez, D.C.

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1912193053
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7858 Issued in AZ
Practice address
227 E Baseline Rd
J-1
Tempe, AZ 85283-1284
Phone
(480) 264-6181
Fax
(480) 264-7152
NPI assigned
Sep 21, 2007
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7858 AZ Primary

Addresses

Primary practice location

227 E Baseline Rd
J-1
Tempe, AZ 85283-1284

Mailing address

227 E Baseline Rd
J-1
Tempe, AZ 85283-1284
Phone (480) 264-6181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000534 AZ Practitioner - Chiropractic 1850473000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

227 E Baseline Rd
Suite J1
Tempe, AZ 85283-1390
Phone (480) 261-6181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7858AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic and Wellness, PLC Chiropractor CurrentSince Apr 24, 2011 Accepting new patients
Innovative Medicine Institute Inc Past Accepting new patients

Locations

227 E Baseline Rd
Ste J1
Tempe, AZ 85283
Phone (480) 261-6181

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1912193053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E BASELINE RD",
            "address_2": "J-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831284",
            "telephone_number": "480-264-6181",
            "fax_number": "480-264-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E BASELINE RD",
            "address_2": "J-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831284",
            "telephone_number": "480-264-6181",
            "fax_number": "480-264-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "PATRICIA",
        "middle_name": "CARLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.