Organization Active NPI

Lake Pleasant Chiropractic, LLC

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1952425589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7439 Issued in AZ
Legal business name
LAKE PLEASANT CHIROPRACTIC, LLC
Practice address
9059 W Lake Pleasant Pkwy
Suite 700
Peoria, AZ 85382-8336
Phone
(623) 572-4476
Fax
(623) 566-4918
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melanie Dias-Zair, D.C.
Title
President
Phone
(623) 572-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7439 AZ Primary

Addresses

Primary practice location

9059 W Lake Pleasant Pkwy
Suite 700
Peoria, AZ 85382-8336

Mailing address

9059 W Lake Pleasant Pkwy
Suite 700
Peoria, AZ 85382-8336
Phone (623) 572-4476

National Provider Directory

National Provider Directory

Locations

17235 N 75th Ave
Ste F110
Glendale, AZ 85308
Phone (602) 492-4427

9059 W Lake Pleasant Pkwy
Ste 700
Peoria, AZ 85382
Phone (623) 572-4476

Practitioners & affiliated clinicians

Practitioners 2

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952425589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY",
            "address_2": "SUITE 700",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828336",
            "telephone_number": "623-572-4476",
            "fax_number": "623-566-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY",
            "address_2": "SUITE 700",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828336",
            "telephone_number": "623-572-4476",
            "fax_number": "623-566-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLEASANT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAS-ZAIR",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-572-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.