MOUNTAINSIDE WELLNESS CENTER INC


Address: 4909 E Chandler Blvd Ste 502, Phoenix, AZ 85048-0863
Phone: 4809407444

MOUNTAINSIDE WELLNESS CENTER INC (NPI# 1053583450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053583450
Entity Type Organization
Organization Name MOUNTAINSIDE WELLNESS CENTER INC
Practice Address 4909 E Chandler Blvd Ste 502
Phoenix
AZ 85048-0863
Practice Telephone 4809407444
Enumeration Date 2008-03-26
Last Update Date 2015-02-11
Authorized Official Name DR. JOHN SCOTT METTHAM (VICE PRESIDENT)
Authorized Official Telephone 4809407444
Authorized Official Credential D.C., P.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation 3751 AZ Allopathic & Osteopathic Physicians
Y 111N00000X Chiropractor 7077 AZ Chiropractic Providers

Office Location

Street Address 4909 E CHANDLER BLVD STE 502
City PHOENIX
State AZ
Zip Code 85048-0863

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164062618 Smile Dentistry Pllc Dentist 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 2020-01-13
1558924415 Ahwatukee Orthodontic Associates Inc Dentist 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 2019-04-17
1699299560 Brianna Alean Kinsey Student in an Organized Health Care Education/Training Program 16214 S. 1st Street, Phoenix, AZ 85048 2017-08-01
1497278113 Teague Duncan Wilson Specialist/Technologist 3305 E Nighthawk Way, Phoenix, AZ 85048 2017-07-25
1730550146 Jennifer Zazueta Physician Assistant 4126 E Nighthawk Way, Phoenix, AZ 85048 2015-10-12
1235551904 Louise Marie Braunbeck Physical Therapy Assistant 16649 S 24th Place, Phoenix, AZ 85048 2014-01-14
1780026260 Erin Onacki Social Worker 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 2013-07-24
1649528720 Cody A Morales Social Worker 4654 E Mountain Vista Dr, Phoenix, AZ 85048 2012-08-21
1417168287 Lori Lynn Haas Social Worker 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 2007-05-24
1285847210 Jonne Amorette Housh Nurse Practitioner 4545 E Chandler Blvd., Phoenix, AZ 85048 2007-05-07
Find all providers in zip 85048

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023628476 The Wellness Way North Phoenix LLC Chiropractor 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 2020-07-31
1114535366 Brian Anthony Romero Chiropractor 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 2020-07-14
1760034573 Teresa Stevens Chiropractor 42806 N 20 St, Phoenix, AZ 85087 2019-07-11
1609439645 Danielle Stetzel Chiropractor 1130 E Missouri Ave Ste 402, Phoenix, AZ 85014-2724 2019-04-16
1447723598 28th Street Medical Group, LLC Chiropractor 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 2019-01-10
1740753094 Scott Mackenzie Chiropractor 4040 E Camelback Rd Ste 155, Phoenix, AZ 85018-8349 2019-01-09
1417437989 Lone Star Health, LLC Chiropractor 10 E Ruth Ave, Phoenix, AZ 85020-3131 2018-08-15
1477032357 Joann Moskop Chiropractor 2719 N Greenfield Rd., Phoenix, AZ 85006 2018-08-10
1932687969 Trish Triemert Chiropractor 3415 W Glendale Ave Ste 3a, Phoenix, AZ 85051-8484 2018-08-01
1639667009 Samuel William Rodriguez Chiropractor 1130 E Missouri Ave Ste 180, Phoenix, AZ 85014-2736 2018-05-01
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85048

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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