Active NPI
San Tan Mountain Chiropractic and Rehab, LLC
Doing business as Afc Chiropractic
- Chiropractor
- San Tan Valley, AZ
National Provider Identifier
1962651000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SAN TAN MOUNTAIN CHIROPRACTIC AND REHAB, LLC
- Doing business as
- Afc Chiropractic
- Practice address
- 270 E Hunt Hwy Ste a-2
San Tan Valley, AZ 85143-4962 - Phone
- (480) 882-2222
- Fax
- (480) 882-2220
- NPI assigned
- Sep 12, 2008
- Last updated
- Jun 20, 2012
- 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
- Dr. Kevin Wall, DC
- Title
- Owner
- Phone
- (480) 882-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
270 E Hunt Hwy Ste a-2
San Tan Valley, AZ 85143-4962
Mailing address
1839 S Alma School Rd
Suite 354
Mesa, AZ 85210-3023
Phone (480) 726-2287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z136595 | Other | AZ | MEDICARE PTAN |
Other names 1
- AFC CHIROPRACTIC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Gilbert, AZ
- NPI 1932196367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1962651000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 S ALMA SCHOOL RD",
"address_2": "SUITE 354",
"city": "MESA",
"state": "AZ",
"postal_code": "852103023",
"telephone_number": "480-726-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E HUNT HWY STE A-2",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851434962",
"telephone_number": "480-882-2222",
"fax_number": "480-882-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN TAN MOUNTAIN CHIROPRACTIC AND REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-12",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "WALL",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-882-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z136595",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AFC CHIROPRACTIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.