Organization Active NPI

Freedom Family Chiropractic PLLC

Doing business as Freedom Family Chiropractic

  • Chiropractor
  • Queen Creek, AZ
National Provider Identifier
1942873609
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FREEDOM FAMILY CHIROPRACTIC PLLC
Doing business as
Freedom Family Chiropractic
Practice address
7215 S Power Rd Ste B103
Queen Creek, AZ 85142-6336
Phone
(760) 419-8981
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dr. Lucas Melendez, DCNPI 1699274357
Title
Ao/ Provider/ Owner
Phone
(760) 419-8981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7215 S Power Rd Ste B103
Queen Creek, AZ 85142-6336

Mailing address

7215 S Power Rd Ste B103
Queen Creek, AZ 85142-6336
Phone (760) 419-8981

Other names 1

  • Freedom Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810000328 AZ Part B Supplier - Clinic/Group Practice 2466841242 Receives reassigned benefits from 1 practitioner
Practice locations: Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

7215 S Power Rd
Ste B103
Queen Creek, AZ 85142
Phone (480) 746-4550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1942873609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 S POWER RD STE B103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426336",
            "telephone_number": "760-419-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 S POWER RD STE B103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426336",
            "telephone_number": "760-419-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "AO/ PROVIDER/ OWNER",
        "authorized_official_telephone_number": "760-419-8981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.

Verify at the official NPI Registry.