Healthsource of Central Glendale, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7663 Issued in AZ

Legal business name

HEALTHSOURCE OF CENTRAL GLENDALE, P.C.

Practice address

5128 W Peoria Ave
Glendale, AZ 85302-1618

Phone

(623) 878-0600

Fax

(623) 878-6278

NPI assigned

Oct 25, 2006

Last updated

Oct 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Massoff, CHIROPRACTORNPI 1972523926

Title

President

Phone

(623) 878-0600

Specialties & licenses 1

Addresses

Other names 1

• Advanced Chiropractic Former legal business name

Locations

Practitioners 1

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.

• Michael J Massoff, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1972523926
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1942384722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021618",
            "telephone_number": "623-878-0600",
            "fax_number": "623-878-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021618",
            "telephone_number": "623-878-0600",
            "fax_number": "623-878-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF CENTRAL GLENDALE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "MASSOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-878-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.