NPIMap

Organization Active NPI

Ceresoli Chiropractic PLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1982862546
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7163 Issued in AZ
Legal business name
CERESOLI CHIROPRACTIC PLC
Practice address
745 W Baseline Rd Ste 20
Mesa, AZ 85210-6020
Phone
(480) 926-2622
Fax
(480) 926-2989
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Jeff A Ceresoli, D.C.
Title
Owner
Phone
(480) 926-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7163 AZ Primary

Addresses

Primary practice location

745 W Baseline Rd Ste 20
Mesa, AZ 85210-6020

Mailing address

745 W Baseline Rd Ste 20
Mesa, AZ 85210-6020
Phone (480) 926-2622

National Provider Directory

National Provider Directory

Locations

745 W Baseline Rd
Ste 20
Mesa, AZ 85210
Phone (480) 926-2622

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1982862546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W BASELINE RD STE 20",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106020",
            "telephone_number": "480-926-2622",
            "fax_number": "480-926-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W BASELINE RD STE 20",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106020",
            "telephone_number": "480-926-2622",
            "fax_number": "480-926-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERESOLI CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "CERESOLI",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-926-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.