DR. TRACY STEVEN VAN LAECKEN (NPI# 1184671331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184671331 |
| Entity Type | Individual |
| Full Name | DR. TRACY STEVEN VAN LAECKEN |
| Credential | D.C. |
| Practice Address |
15640 N 7th St Suite #a3 Phoenix AZ 85022-3512 |
| Practice Telephone | 6022981600 |
| Practice Fax Number | 6022986790 |
| Mailing Telephone | 6022981600 |
| Mailing Fax Number | 6022986790 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1084 | SD | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 7703 | AZ | Chiropractic Providers |
| Street Address |
15640 N 7TH ST SUITE #A3 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851742860 | Ajla S Sinanovic | Respiratory Therapist, Certified | 15640 N 7th St, Ste 6, Phoenix, AZ 85022-3512 | 2016-06-30 |
| 1023468105 | Medical Pain Solutions | Family Medicine | 15640 N 7th St, #a3, Phoenix, AZ 85022-3512 | 2016-06-20 |
| 1689903791 | Rebecca Della Andrews | Occupational Therapist | 15640 N 7th St, Ste 6, Phoenix, AZ 85022-3512 | 2009-12-18 |
| 1700030731 | Southwest Institute for Sleep | Family Medicine | 15640 N 7th St, Suite 1, Phoenix, AZ 85022-3512 | 2008-11-04 |
| 1225294085 | Nikol L Hanson Boothe | Speech-Language Pathologist | 15640 N 7th St, Phoenix, AZ 85022-3512 | 2008-07-31 |
| 1023276813 | Jackie Sue Wolfe | Respiratory Therapist, Certified | 15640 N 7th St, Suite 6, Phoenix, AZ 85022-3512 | 2008-05-28 |
| 1740301514 | Kimberly Ann Albrecht | Dentist | 15640 N 7th St, Suite A-4, Phoenix, AZ 85022-3512 | 2007-04-02 |
| 1447374566 | Brandie M Dempsay | Respiratory Therapist, Certified | 15640 N 7th St, Ste 6, Phoenix, AZ 85022-3512 | 2007-03-16 |
| 1629092051 | Spinalworks Inc | Chiropractor | 15640 N 7th St, Suite #a3, Phoenix, AZ 85022-3512 | 2006-07-27 |
| 1760423537 | Health Care Technologies, LLC | Durable Medical Equipment & Medical Supplies | 15640 N 7th St, Suite 9, Phoenix, AZ 85022-3512 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| 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 | ||||
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| 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.