Organization Active NPI

Arizona Spine and Health Center

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1952587909
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7890 Issued in AZ
Legal business name
ARIZONA SPINE AND HEALTH CENTER
Practice address
4747 E Elliot Rd
32
Phoenix, AZ 85044-1627
Phone
(480) 893-8700
Fax
(480) 893-1300
NPI assigned
Jan 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. Jorge A Gallardo Jr., D.C.
Title
Owner
Phone
(480) 203-5632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7890 AZ Primary

Addresses

Primary practice location

4747 E Elliot Rd
32
Phoenix, AZ 85044-1627

Mailing address

4747 E Elliot Rd
32
Phoenix, AZ 85044-1627
Phone (480) 893-8700

Other names 1

  • AZ Spine & Health Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1135 N Recker Rd
Ste 109
Mesa, AZ 85205
Phone (480) 767-8873

4747 E Elliot Rd
Ste 32
Phoenix, AZ 85044
Phone (480) 307-9904

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1952587909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD",
            "address_2": "32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441627",
            "telephone_number": "480-893-8700",
            "fax_number": "480-893-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD",
            "address_2": "32",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441627",
            "telephone_number": "480-893-8700",
            "fax_number": "480-893-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPINE AND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-20",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-203-5632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Spine & Health Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.