TANQUE VERDE CHIROPRACTIC CLINIC P.C. (NPI# 1770703084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770703084 |
| Entity Type | Organization |
| Organization Name | TANQUE VERDE CHIROPRACTIC CLINIC P.C. |
| Practice Address |
9100 E Tanque Verde Rd Ste 140 Tucson AZ 85749-8173 |
| Mailing Address |
9100 E Tanque Verde Rd Ste 140 Tucson AZ 85749-8173 |
| Practice Telephone | 5207492929 |
| Practice Fax Number | 5207498391 |
| Mailing Telephone | 5207492929 |
| Mailing Fax Number | 5207498391 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL JOSEPH STONE (DOCTOR) |
| Authorized Official Telephone | 5207492929 |
| Authorized Official Credential | DC, DABCI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | 4880 | AZ | Chiropractic Providers |
| X | 111NI0900X |
Chiropractor Specialization: Internist |
4880 | AZ | Chiropractic Providers |
| X | 111NN1001X |
Chiropractor Specialization: Nutrition |
4880 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0241060 | 01 |
| Street Address |
9100 E TANQUE VERDE RD STE 140 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85749-8173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306060314 | Michael Joseph Stone | Chiropractor | 9100 E Tanque Verde Rd, Ste 140, Tucson, AZ 85749-8173 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
| 1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
| 1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
| 1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
| Find all providers in zip 85749 | ||||
| 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 |
|---|---|---|---|---|
| 1780294835 | Jacquelyn Rose Lewison | Chiropractor | 2055 N Kolb Rd, Tucson, AZ 85715-4099 | 2020-08-04 |
| 1386278943 | Jordan Sheffer | Chiropractor | 2292 W Magee Rd Ste 170, Tucson, AZ 85742-4302 | 2020-02-23 |
| 1710526421 | Nathan Jacob Gomez | Chiropractor | 8340 E Vicksburg St, Tucson, AZ 85710-2948 | 2019-12-27 |
| 1225691751 | David D Heaton LLC | Chiropractor | 601 N Craycroft Rd, Tucson, AZ 85711-1404 | 2019-04-19 |
| 1417410218 | Jena Elizabeth Crumpacker | Chiropractor | 6922a E Talon Dr, Tucson, AZ 85708-1016 | 2019-04-09 |
| 1194287110 | Michael Austin | Chiropractor | 6921 N Solaz Primero, Tucson, AZ 85718-1151 | 2019-04-01 |
| 1063927242 | Katherine Ann Phillips | Chiropractor | 5215 N Sabino Canyon Rd Ste 110, Tucson, AZ 85750-6435 | 2017-12-09 |
| 1598275737 | Robert A. Nardone, PC | Chiropractor | 2101 N Country Club Rd Ste 101, Tucson, AZ 85716-2845 | 2017-10-02 |
| 1023558442 | Kelly Ostler | Chiropractor | 6410 E Boldin Dr, Tucson, AZ 85756-8421 | 2017-03-04 |
| 1558734582 | Wily Low | Chiropractor | 3401 E Benson Hwy, Tucson, AZ 85706-1807 | 2015-11-13 |
| Find all providers in TUCSON | ||||
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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.