Agave Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AZ5355 Issued in AZ

Legal business name

AGAVE CHIROPRACTIC LLC

Practice address

3818 E Indian School Rd
Phoenix, AZ 85018-5235

Phone

(602) 956-8736

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul William Van Berkel, D.C.NPI 1902824311

Title

Owner

Phone

(602) 956-8736

Specialties & licenses 1

Addresses

Tax ID family

Agave Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Agave Chiropractic, LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1982046975
  NPD tax ID

Locations

Practitioners 1

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

• Paul William Van Berkel, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1902824311
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962435966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185235",
            "telephone_number": "602-956-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185235",
            "telephone_number": "602-956-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN BERKEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-956-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ5355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aysha Agarwal, MD
• Mohit Agarwal
• Nimit Kumar Agarwal, MD
• Rajeev Agarwal, MD
• Shalini Rajeev Agarwal, M.D.
• Agave Chiropractic, LLC
• Agave Dental LLC
• Agave Foot Specialists, PLLC
• Agave Healthcare LLC
• Agave Physician Services LLC

• All providers in Phoenix, AZ
• Chiropractor in Arizona

• 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.