Active NPI
Joanne Tellez, DC
- Chiropractor
- Mesa, AZ
National Provider Identifier
1942824347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8925
- Practice address
- 5233 E Southern Ave Ste 104
Mesa, AZ 85206-3628 - Phone
- (480) 830-2882
- NPI assigned
- Jun 1, 2020
- Last updated
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8925 | AZ | Primary |
Addresses
Primary practice location
5233 E Southern Ave Ste 104
Mesa, AZ 85206-3628
Mailing address
5233 E Southern Ave Ste 103
Mesa, AZ 85206-3628
Phone (480) 830-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200615003074 | AZ | Practitioner - Chiropractic | 4981026218 | Practice locations: Maricopa, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8925 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1942824347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 E SOUTHERN AVE STE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852063628",
"telephone_number": "480-830-2882",
"fax_number": "480-830-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5233 E SOUTHERN AVE STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852063628",
"telephone_number": "480-830-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "JOANNE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Samantha Khalil Telepak, BCBA
- Telfer Enterprises LLC (Accessible Home Health Care of Scottsdale)
- Kimberly Ann Telfer, FNP
- Rolinda Teller Camacho
- Kari L Telles, PT
- Kiara Tellez
- Jyldyz Temirkan, FNP-C
- Tempe Advanced Support Group PLLC
- Tempe Advanced Surgery Center PLLC
- Tempe Behavioral Health LLC (Autism Care Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.