Organization Active NPI

Advantage Chiropractic Clinic LLC

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1972646404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7662 Issued in AZ
Legal business name
ADVANTAGE CHIROPRACTIC CLINIC LLC
Practice address
2040 S Alma School Rd Ste 16
Chandler, AZ 85248-2077
Phone
(480) 214-2007
Fax
(480) 899-8047
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher David Nance, D.C.NPI 1063562668
Title
Owner
Phone
(480) 214-2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7662 AZ Primary

Addresses

Primary practice location

2040 S Alma School Rd Ste 16
Chandler, AZ 85248-2077

Mailing address

2040 S Alma School Rd Ste 16
Chandler, AZ 85248-2077
Phone (480) 214-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060310000125 AZ Part B Supplier - Clinic/Group Practice 4385651744 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

2040 S Alma School Rd
Ste 16
Chandler, AZ 85286
Phone (480) 214-2007

590 N Alma School Rd
Ste 16
Chandler, AZ 85224
Phone (480) 399-5020

1900 W Germann Rd
Ste 16
Chandler, AZ 85286
Phone (480) 214-2007

Practitioners & affiliated clinicians

Practitioners 3

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972646404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD STE 16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482077",
            "telephone_number": "480-214-2007",
            "fax_number": "480-899-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD STE 16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482077",
            "telephone_number": "480-214-2007",
            "fax_number": "480-899-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-214-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7662",
            "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 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.

Verify at the official NPI Registry.