Organization Active NPI

Sun Chiropractic PLLC

  • Chiropractor
  • Sun City West, AZ
National Provider Identifier
1982336541
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUN CHIROPRACTIC PLLC
Practice address
13925 W Meeker Blvd Ste 7
Sun City West, AZ 85375-4431
Phone
(623) 584-2328
Fax
(623) 584-4796
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Martin John Goulooze III, DCNPI 1700915519
Title
Director
Phone
(602) 618-0444

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 Primary

Addresses

Primary practice location

13925 W Meeker Blvd Ste 7
Sun City West, AZ 85375-4431

Mailing address

13925 W Meeker Blvd Ste 7
Sun City West, AZ 85375-4431
Phone (623) 584-2328

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.kareo.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923000002 AZ Part B Supplier - Clinic/Group Practice 8224413422 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City West, AZ

National Provider Directory

National Provider Directory

Locations

13925 W Meeker Blvd
Ste 7
Sun City West, AZ 85375
Phone (602) 618-0444

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1982336541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD STE 7",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754431",
            "telephone_number": "623-584-2328",
            "fax_number": "623-584-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD STE 7",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754431",
            "telephone_number": "623-584-2328",
            "fax_number": "623-584-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "GOULOOZE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-618-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.kareo.com",
            "affiliation": "N",
            "endpointDescription": "PMS/EHR",
            "address_1": "13925 W Meeker Blvd Ste 7",
            "city": "Sun City West",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853754431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.