Organization Active NPI

Panchesin Chiropractic Center PC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1922160910
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3682 Issued in AZ
Legal business name
PANCHESIN CHIROPRACTIC CENTER PC
Practice address
5311 S 12TH Ave
Tucson, AZ 85706-3201
Phone
(520) 294-0400
Fax
(520) 741-8158
NPI assigned
Dec 15, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Thomas Panchesin, DC
Title
Chiropractor
Phone
(520) 294-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3682 AZ Primary

Addresses

Primary practice location

5311 S 12TH Ave
Tucson, AZ 85706-3201

Mailing address

5311 S 12TH Ave
Tucson, AZ 85706-3201
Phone (520) 294-0400

Other identifiers 1

IdentifierTypeStateIssuer
AZ0945050OtherAZBCBS

National Provider Directory

National Provider Directory

Locations

5311 S 12th Ave
Tucson, AZ 85706
Phone (520) 294-0400

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1922160910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 S 12TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063201",
            "telephone_number": "520-294-0400",
            "fax_number": "520-741-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 S 12TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857063201",
            "telephone_number": "520-294-0400",
            "fax_number": "520-741-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCHESIN CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "PANCHESIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "520-294-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0945050",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.