MAXIM CHIROPRACTIC THREE NPI 1003960873

Chiropractor in Mesa, AZ

Organization Chiropractor

About MAXIM CHIROPRACTIC THREE

Maxim Chiropractic Three is a provider established in Mesa, Arizona specializing in chiropractor. The NPI number of Maxim Chiropractic Three is 1003960873 and was assigned on January 2007. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Maxim Chiropractic Three operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
The authorized official of this NPI record is Justin Fossum (Manager)

NPI

1003960873

Provider NameMAXIM CHIROPRACTIC THREE
Provider Location Address1830 S ALMA SCHOOL RD MESA, AZ 85210
Provider Mailing Address1830 S ALMA SCHOOL RD MESA, AZ 85210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date01-22-2007
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
Taxonomy DescriptionA 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.

Business Address

MAXIM CHIROPRACTIC THREE
1830 S ALMA SCHOOL RD
MESA, AZ
ZIP 85210
Phone: (480) 222-5170
Fax: (480) 222-5163

Get Directions

Mailing Address

MAXIM CHIROPRACTIC THREE
1830 S ALMA SCHOOL RD
MESA, AZ
ZIP 85210
Phone:
Fax: (480) 222-5163

Authorized Official

Authorized Official Name JUSTIN FOSSUM
Authorized Official TitleMANAGER
Authorized Official Phone(480) 222-5170

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
AZ0931560OTHER (01)AZ

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003935289JUNE SIEGEL MSW CISW PC
Organization
Clinic/Center (Adult Mental Health)1830 S ALMA SCHOOL RD SUITE 135
MESA, AZ 85210
(480) 491-4840
1013120682MRS. TRACY KERR CARSON LAC
Individual
Counselor (Professional)1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1073578845DR. MYSORE S SURESH D.D.S
Individual
Dentist (General Practice)1830 S ALMA SCHOOL RD #136
MESA, AZ 85210
(480) 491-0404
1093831927 WENDY SUE LEHNERTZ LAMFT
Individual
Marriage & Family Therapist1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1154515492LOW VISION RESOURCE CENTER-DBA VIEWFINDER
Organization
Optometrist (Low Vision Rehabilitation)1830 S ALMA SCHOOL RD SUITE 131
MESA, AZ 85210
(480) 924-8755
1245372580PHOENIX PERFUSION SERVICES
Organization
Perfusionist1830 S ALMA SCHOOL RD SUITE 108
MESA, AZ 85210
(480) 248-3070
1245432533DR.SURESH AND ASSOCIATES P.C.
Organization
Dentist (General Practice)1830 S ALMA SCHOOL RD SUITE 136
MESA, AZ 85210
(480) 491-0404
1295852051ARIZONA PSYCHOLOGY CONSULTANTS, INC.
Organization
1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1295941565 DAWN HEATHER FELDMAN
Individual
Occupational Therapist (Pediatrics)1830 S ALMA SCHOOL RD STE. 130
MESA, AZ 85210
(480) 902-0771
1396878237MRS. TANYA H HARRIS LAC
Individual
Counselor (Professional)1830 S ALMA SCHOOL RD 112
MESA, AZ 85210
(480) 730-6222
1407970452MRS. CELESTIA GAY TRACY
Individual
Counselor (Professional)1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1467445122 ROBERT GEORGE ZENNER M.D.
Individual
Psychiatry & Neurology (Psychiatry)1830 S ALMA SCHOOL RD SUITE 134
MESA, AZ 85210
(480) 839-4085
1558482117A PLACE TO CALL HOME, INC.
Organization
1830 S ALMA SCHOOL RD SUITE 122
MESA, AZ 85210
(480) 456-0549
1568581031PROFESSIONAL COUNSELING ASSOCIATES, LLC
Organization
1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1578772315FAMILY DENTISTRY LLC
Organization
Dentist (General Practice)1830 S ALMA SCHOOL RD SUITE #110
MESA, AZ 85210
(480) 834-1317
1588745897DR. RAYMOND EDWARD BRANTON PSY.D.
Individual
1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1669541116 TERRY BERKLEY DDS
Individual
Dentist1830 S ALMA SCHOOL RD
MESA, AZ 85210
(480) 834-1317
1770708802DR. JULIAN S PICKENS EDD
Individual
1830 S ALMA SCHOOL RD SUITE 112
MESA, AZ 85210
(480) 730-6222
1902828825MR. DARRYL G STEIN MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1830 S ALMA SCHOOL RD SUITE 108
MESA, AZ 85210
(480) 248-3000
1992759393DR. POOJA SURESH D.D.S.
Individual
Dentist1830 S ALMA SCHOOL RD STE 136
MESA, AZ 85210
(480) 491-0404

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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