Organization Active NPI

Hot Sauce Shack Chiropractic in the Back

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1962837773
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7041 Issued in AZ
Legal business name
HOT SAUCE SHACK CHIROPRACTIC IN THE BACK
Practice address
1256 W Chandler Blvd
Chandler, AZ 85224-5207
Phone
(602) 577-2770
Fax
(480) 726-6798
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Dr. Colleen Catherine Mahoney, DC
Title
Chief Officer/Chiropractor
Phone
(602) 577-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7041 AZ Primary

Addresses

Primary practice location

1256 W Chandler Blvd
Chandler, AZ 85224-5207

Mailing address

1256 W Chandler Blvd
Chandler, AZ 85224-5207
Phone (602) 577-2770

National Provider Directory

National Provider Directory

Locations

1256 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 821-7857

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1962837773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245207",
            "telephone_number": "602-577-2770",
            "fax_number": "480-726-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245207",
            "telephone_number": "602-577-2770",
            "fax_number": "480-726-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SAUCE SHACK CHIROPRACTIC IN THE BACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "CHIEF OFFICER/CHIROPRACTOR",
        "authorized_official_telephone_number": "602-577-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.