Active NPI
5TH Street Associates, Inc
Doing business as associates in chiropractic
- Nutrition Chiropractor
- Tucson, AZ
National Provider Identifier
1962581413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 0078522
- Legal business name
- 5TH STREET ASSOCIATES, INC
- Doing business as
- associates in chiropractic
- Practice address
- 6145 E 5TH St
Tucson, AZ 85711-2505 - Phone
- (520) 745-1611
- Fax
- (520) 745-7846
- NPI assigned
- Nov 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Diane Keleher-Dickerson
- Title
- Owner/Bookkeeper
- Phone
- (520) 745-1611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 0078522 | AZ | Primary |
Addresses
Primary practice location
6145 E 5TH St
Tucson, AZ 85711-2505
Mailing address
6145 E 5TH St
Tucson, AZ 85711-2505
Phone (520) 745-1611
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0234480 | Other | AZ | BLUE CROSS |
| 3746055 | Other | AZ | ACN GROUP |
| WC28100310 | Other | AZ | WORKERS COMPENSATION |
Other names 1
- associates in chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1001 N Swan Rd
Tucson, AZ 85711
Phone (520) 323-7133
6145 E 5th St
Tucson, AZ 85711
Phone (520) 207-2832
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nutrition Chiropractor
- Tucson, AZ
- NPI 1285723015
-
- Naturopath
- Tucson, AZ
- NPI 1558571778
-
- Acupuncturist
- Tucson, AZ
- NPI 1982141354
-
- Chiropractor
- Tucson, AZ
- NPI 1063426583
-
- Adult Health Nurse Practitioner
- Tucson, AZ
- NPI 1881796852
-
- General Practice Physician
- Tucson, AZ
- NPI 1720299720
-
- Chiropractor
- Tucson, AZ
- NPI 1245459742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962581413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 E 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112505",
"telephone_number": "520-745-1611",
"fax_number": "520-745-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6145 E 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112505",
"telephone_number": "520-745-1611",
"fax_number": "520-745-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5TH STREET ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KELEHER-DICKERSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER/BOOKKEEPER",
"authorized_official_telephone_number": "520-745-1611",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "AZ",
"license": "0078522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0234480",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "3746055",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "WC28100310",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "associates in chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.