Organization Active NPI

Platinum Wellness Center of America PC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1972628832
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5269 Issued in AZ
Legal business name
PLATINUM WELLNESS CENTER OF AMERICA PC
Practice address
4727 E Union Hills Dr
Suite 100
Phoenix, AZ 85050-3387
Phone
(602) 866-8100
Fax
(602) 866-8979
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Dr. Anthony J Infantino, D.C.
Title
Owner
Phone
(602) 866-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5269 AZ Primary

Addresses

Primary practice location

4727 E Union Hills Dr
Suite 100
Phoenix, AZ 85050-3387

Mailing address

4727 E Union Hills Dr
Suite 100
Phoenix, AZ 85050-3387
Phone (602) 866-8100

National Provider Directory

National Provider Directory

Locations

4727 E Union Hills Dr
Ste 100
Phoenix, AZ 85050
Phone (602) 788-1600

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1972628832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E UNION HILLS DR",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503387",
            "telephone_number": "602-866-8100",
            "fax_number": "602-866-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 E UNION HILLS DR",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503387",
            "telephone_number": "602-866-8100",
            "fax_number": "602-866-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM WELLNESS CENTER OF AMERICA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "INFANTINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-866-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 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.