Organization Active NPI

Network Wellness Center of Prescott

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1942444708
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ5673 Issued in AZ
Legal business name
NETWORK WELLNESS CENTER OF PRESCOTT
Practice address
119 Grove Ave
Suite D
Prescott, AZ 86301-2902
Phone
(928) 771-8590
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Steven M. Teagarden, D.C.
Title
Manager
Phone
(928) 771-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X AZ5673 AZ Primary

Addresses

Primary practice location

119 Grove Ave
Suite D
Prescott, AZ 86301-2902

Mailing address

119 Grove Ave
Suite D
Prescott, AZ 86301-2902
Phone (928) 771-8590

National Provider Directory

National Provider Directory

Locations

119 Grove Ave
Ste D
Prescott, AZ 86301
Phone (928) 771-8590

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1942444708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GROVE AVE",
            "address_2": "SUITE D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012902",
            "telephone_number": "928-771-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GROVE AVE",
            "address_2": "SUITE D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012902",
            "telephone_number": "928-771-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETWORK WELLNESS CENTER OF PRESCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "TEAGARDEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-771-8590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ5673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.