Organization Active NPI

Preferred Chiropractic Twelve, PC

Doing business as Preferred Chiropractic Centres

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1932156429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PREFERRED CHIROPRACTIC TWELVE, PC
Doing business as
Preferred Chiropractic Centres
Practice address
111 E Wacker Dr
Ste. 1210
Chicago, IL 60601-3713
Phone
(312) 819-0374
NPI assigned
May 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Douglas H Black
Title
Vice-President
Phone
(480) 893-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

111 E Wacker Dr
Ste. 1210
Chicago, IL 60601-3713

Mailing address

5024 S Ash Ave
Ste. 106
Tempe, AZ 85282-6847
Phone (480) 893-8600

Other names 1

  • Preferred Chiropractic Centres Doing business as

National Provider Directory

National Provider Directory

Locations

5024 S Ash Ave
Tempe, AZ 85282

5024 S Ash Ave
Ste 106
Tempe, AZ 85282
Phone (480) 756-1688

111 E Wacker Dr
Ste 1210
Chicago, IL 60601
Phone (312) 819-0374

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932156429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 S ASH AVE",
            "address_2": "STE. 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826847",
            "telephone_number": "480-893-8600",
            "fax_number": "480-756-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WACKER DR",
            "address_2": "STE. 1210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013713",
            "telephone_number": "312-819-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CHIROPRACTIC TWELVE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "480-893-8600"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Chiropractic Centres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.