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Organization Active NPI

Ocotillo Chiropractic Center II PC

Doing business as Ocotillo Chiropractic Center

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1972714368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OCOTILLO CHIROPRACTIC CENTER II PC
Doing business as
Ocotillo Chiropractic Center
Practice address
1075 E Riggs Rd
Ste 1
Chandler, AZ 85249-3685
Phone
(480) 940-1991
Fax
(480) 802-1912
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Ryan W Wade, D.C.
Title
President
Phone
(480) 940-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1075 E Riggs Rd
Ste 1
Chandler, AZ 85249-3685

Mailing address

1880 S Alma School Rd
Ste 1
Chandler, AZ 85248-2074
Phone (480) 963-2772

Other names 1

  • Ocotillo Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1075 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 940-1991

1100 S Dobson Rd
Ste 112
Chandler, AZ 85286
Phone (480) 940-1991

1880 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 963-2772

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972714368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S ALMA SCHOOL RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482074",
            "telephone_number": "480-963-2772",
            "fax_number": "480-963-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E RIGGS RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493685",
            "telephone_number": "480-940-1991",
            "fax_number": "480-802-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO CHIROPRACTIC CENTER II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-940-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocotillo Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.