Organization Active NPI

Arizona Fitness Chiropractic LLC

  • Rehabilitation Chiropractor
  • Glendale, AZ
National Provider Identifier
1992997472
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
D.C. 5922, PHYSIOTHE Issued in AZ
Legal business name
ARIZONA FITNESS CHIROPRACTIC LLC
Practice address
5536 W Bell Rd
Glendale, AZ 85308-3866
Phone
(602) 863-9111
Fax
(602) 863-3633
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Wayne A Harmon, D.C.NPI 1609945682
Title
Doctor of Chiropractic
Phone
(602) 863-9111

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X D.C. 5922, PHYSIOTHE AZ Primary

Addresses

Primary practice location

5536 W Bell Rd
Glendale, AZ 85308-3866

Mailing address

PO Box 12585
Glendale, AZ 85318-2585
Phone (602) 863-9111

National Provider Directory

National Provider Directory

Locations

5536 W Bell Rd
Glendale, AZ 85308
Phone (602) 863-9111

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1992997472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12585",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853182585",
            "telephone_number": "602-863-9111",
            "fax_number": "602-863-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083866",
            "telephone_number": "602-863-9111",
            "fax_number": "602-863-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FITNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "602-863-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "D.C. 5922, PHYSIOTHE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.