Active NPI
John A Fuentes, D.C.
- Chiropractor
- Mesa, AZ
National Provider Identifier
1952355240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8347
- Practice address
- 1230 S Gilbert Rd Ste G11
Mesa, AZ 85204-6082 - Phone
- (480) 633-9300
- Fax
- (623) 849-0406
- NPI assigned
- May 20, 2006
- Last updated
- Jul 9, 2019
- Sex
- Male
- 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 | 8347 | AZ | Primary |
Addresses
Primary practice location
1230 S Gilbert Rd Ste G11
Mesa, AZ 85204-6082
Mailing address
1230 S Gilbert Rd Ste G11
Mesa, AZ 85204-6082
Phone (480) 633-9300
Other practice location 1
4824 E Baseline Rd.
Suite 140
Mesa, AZ 85206
Phone (480) 969-4040 ext. 4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifford Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Alyesh, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Clifford, PA
- NPI 1235183518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1952355240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 S GILBERT RD STE G11",
"city": "MESA",
"state": "AZ",
"postal_code": "852046082",
"telephone_number": "480-633-9300",
"fax_number": "623-849-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 S GILBERT RD STE G11",
"city": "MESA",
"state": "AZ",
"postal_code": "852046082",
"telephone_number": "480-633-9300",
"fax_number": "623-849-0406"
}
],
"practiceLocations": [
{
"address_1": "4824 E Baseline Rd.",
"address_2": "Suite 140",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "85206",
"country_code": "US",
"telephone_number": "480-969-4040 x4",
"fax_number": "480-295-3722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUENTES",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.