Garden Lakes Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7276 Issued in AZ

Legal business name

GARDEN LAKES CHIROPRACTIC, LLC

Practice address

10720 W Indian School Rd
Suite 67
Phoenix, AZ 85037-5721

Phone

(623) 877-0156

Fax

(623) 877-4541

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Danielle L Lajeunesse, DCNPI 1740351287

Title

Doctor of Chiropractic/Owner of Gar

Phone

(623) 877-0156

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Danielle Lucie Lajeunesse, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1740351287
  Medicare reassignment Authorized official
• Barbara Goldmunz, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1538238449
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1952587586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 W INDIAN SCHOOL RD",
            "address_2": "SUITE 67",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375721",
            "telephone_number": "623-877-0156",
            "fax_number": "623-877-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 W INDIAN SCHOOL RD",
            "address_2": "SUITE 67",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375721",
            "telephone_number": "623-877-0156",
            "fax_number": "623-877-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN LAKES CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "LAJEUNESSE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER OF GAR",
        "authorized_official_telephone_number": "623-877-0156",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11172918",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "10659982721",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0937460",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "AW4523",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Elsie Garciaorr, MD
• Christopher Albert Gard, NP
• Madelyn Gard
• William Matthew Gardella, M.D.
• Garden House, Inc.
• Garden Psychology PLLC
• Jack Garden, HSPP
• Brooke Gardenhire
• Fred Gardezy, DO
• Walter Thomas Gardipee, PHARMD, JD, MBA

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.