AMERICAN FAMILY CHIROPRACTIC & REHAB AT DESERT RIDGE, LLC (NPI# 1538469234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538469234 |
| Entity Type | Organization |
| Organization Name | AMERICAN FAMILY CHIROPRACTIC & REHAB AT DESERT RIDGE, LLC |
| Practice Address |
20830 N Tatum Blvd Suite 210 Phoenix AZ 85050-7256 |
| Mailing Address |
1839 S Alma School Rd Ste 354 Mesa AZ 85210-3023 |
| Practice Telephone | 4805631144 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | JOSH BOCK (OWNER) |
| Authorized Official Telephone | 4807262287 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
20830 N TATUM BLVD SUITE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225081839 | Joseph M. Gazo | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2006-05-18 |
| 1427472661 | Kathleen Barth | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2014-02-07 |
| 1699025668 | Eugenia Ursan | Family Medicine | 20830 N Tatum Blvd, Suite 210, Phoenix, AZ 85050-7256 | 2012-09-17 |
| 1932471737 | Jessica Keeler Tate | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2012-02-08 |
| 1285965509 | David William Orlowski | Counselor | 20830 N Tatum Blvd, Phoenix, AZ 85050-7256 | 2010-01-26 |
| 1750514998 | Smi Imaging, LLC | Radiology | 20830 N Tatum Blvd, Suite 190, Phoenix, AZ 85050-7256 | 2009-09-03 |
| 1952514366 | Jennifer Danielle Mcconnell | Physical Therapist | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7256 | 2007-05-08 |
| 1306925805 | Physiotherapy Associates Inc | Clinic/Center | 20830 N Tatum Blvd, Suite 115, Phoenix, AZ 85050-7258 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| 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.