MATTHEW DORCHESTER, DC, CCSP, LLC (NPI# 1962697706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962697706 |
| Entity Type | Organization |
| Organization Name | MATTHEW DORCHESTER, DC, CCSP, LLC |
| Practice Address |
18325 N Allied Way Suite 105 Phoenix AZ 85054-3105 |
| Mailing Address |
8894 E Rusty Spur Pl Scottsdale AZ 85255-9166 |
| Practice Telephone | 4809913399 |
| Practice Fax Number | 4809050815 |
| Mailing Telephone | 4809913399 |
| Mailing Fax Number | 4809050815 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | MATTHEW DORCHESTER (PHYSICIAN) |
| Authorized Official Telephone | 4809913399 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1578 | AZ | Chiropractic Providers |
| Y | 208D00000X | General Practice | 10597 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PTAN | Z117689 | 01 |
| Street Address |
18325 N ALLIED WAY SUITE 105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103106 | Daniel B Feller | Ophthalmology | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2005-09-06 |
| 1689057085 | Robert Andrew Cook | Optometrist | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2015-07-02 |
| 1740682038 | Tlc Sleep Center | Durable Medical Equipment & Medical Supplies | 18325 N Allied Way, Suite 115, Phoenix, AZ 85054-3105 | 2014-09-18 |
| 1124462593 | Derek P. Jacobsen | Optometrist | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2013-04-29 |
| 1932452273 | Mrd Healthcare LLC | General Practice | 18325 N Allied Way, Suite 105, Phoenix, AZ 85054-3105 | 2012-10-24 |
| 1063645737 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 18325 N Allied Way, Unit 225, Phoenix, AZ 85054-3105 | 2009-08-28 |
| 1649407883 | Angela Herro Kovacik | Internal Medicine | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054 | 2009-06-15 |
| 1306014345 | Sharona Optical | Eyewear Supplier (Equipment, not the service) | 18325 N Allied Way, Phoenix, AZ 85054-3105 | 2008-02-12 |
| 1144409137 | Jonathan Jay Levin | Ophthalmology | 18325 N Allied Way, Suite 100, Phoenix, AZ 85054-3105 | 2007-10-26 |
| 1306931449 | Marshall Craig | Anesthesiology | 18325 N Allied Way, Suite 120, Phoenix, AZ 85054-3105 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760261 | Mallory Jody Murray | General Practice | 7000 E Mayo Blvd Ste 1020, Phoenix, AZ 85054-6152 | 2017-06-21 |
| 1265972269 | Md Assist, Inc. | General Practice | 7117 N 3rd St, Phoenix, AZ 85020-4902 | 2017-02-24 |
| 1861872756 | Keith King | General Practice | 6210 W Earll Dr, Phoenix, AZ 85033-5843 | 2015-06-04 |
| 1659767887 | Samuel Michal Anderson | General Practice | Po Box 31581, Phoenix, AZ 85046-1581 | 2015-04-14 |
| 1982090338 | Arizona Bleeding Disorders Health and Wellness Center | General Practice | 821 N 5th Ave, Phoenix, AZ 85003-1315 | 2015-04-13 |
| 1205238896 | Svelte LLC | General Practice | 2211 E Highland Ave Ste 215, Phoenix, AZ 85016-4834 | 2014-09-25 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1699104539 | Richard Fink | General Practice | 1037 E Baseline Rd, Phoenix, AZ 85042-6618 | 2013-11-01 |
| 1982031795 | Latino Care, LLC | General Practice | 3140 N 35th Ave, Suite 7, Phoenix, AZ 85017-5270 | 2013-10-11 |
| 1669730156 | Lifelink Inc | General Practice | 3039 W Peoria Ave Ste 102-125, Phoenix, AZ 85029-5212 | 2012-05-02 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MATTHEW DORCHESTER, DC, CCSP, LLC.
| 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.