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DR. JOSE LARA D.C.
NPI 1104824812
Chiropractor in Phoenix, AZ

Active since July 07, 2005Accepts Medicare Assignment
2735 W UNION HILLS DR, SUITE 102, PHOENIX, AZ 85027(602) 973-1630(602) 973-1667 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jose Lara D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE LARA D.C. (NPI 1104824812) is an individual chiropractor in Phoenix, Arizona, licensed in Arizona (5303) and active in the NPI registry since July 2005. He is a graduate of Life Chiropractic College (1993).

NPPES Registry Identity

NPI1104824812
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOSE LARACredential: D.C.
Location Address2735 W UNION HILLS DR, SUITE 102Phoenix, AZ 85027-5033
Mailing Address2735 W Union Hills Dr, Suite 102Phoenix, AZ 85027-5033 · (602) 973-1630 · Fax (602) 973-1667
Phone(602) 973-1630
Fax(602) 973-1667
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1993
Enumeration DateJuly 7, 2005
Last NPPES UpdateMay 20, 2008
✔ NPI 1104824812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 5303
Definition
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.
2735 W UNION HILLS DR, Phoenix, AZ 85027
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Other Identifiers 2

Medicare PINWDBWZ01AZ
Medicare UPINU52904AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Lara D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789614173
PECOS Enrollment IDI20120302000605

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
249 services59 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
40 services17 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEER VALLEY SPINE CENTER
Neuromusculoskeletal Medicine & OMM
2735 W UNION HILLS DR, SUITE 101
PHOENIX, AZ 85027
Maricopa County (602) 588-2225
DR. PETER S TIMKO DC
Chiropractor
2735 W UNION HILLS DR, STE 102
PHOENIX, AZ 85027
Maricopa County (602) 973-1630
GONSTEAD PHYSICAL MEDICINE PC
Chiropractor
2735 W UNION HILLS DR, SUITE 102
PHOENIX, AZ 85027
Maricopa County (602) 973-1630
DR. SUKKHUAN PISANO D.C.
Chiropractor
2735 W UNION HILLS DR, SUITE 102
PHOENIX, AZ 85027
Maricopa County (602) 973-1630
TADASHI MATSUHISA DC
Chiropractor
2735 W UNION HILLS DR, #102
PHOENIX, AZ 85027
Maricopa County (602) 973-1630
DR. KIMBERLY BORUCKI LARA D.C
Chiropractor
2735 W UNION HILLS DR, SUITE 102
PHOENIX, AZ 85027
Maricopa County (602) 973-1630
DEER VALLEY SPINE CENTER, LLC
Clinic/Center
2735 W UNION HILLS DR
PHOENIX, AZ 85027
Maricopa County (602) 588-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Lara's NPI number?

The NPI number for Jose Lara is 1104824812. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Jose Lara located?

Jose Lara practices at 2735 W Union Hills Dr Suite 102, Phoenix, AZ 85027. The listed phone number is (602) 973-1630.

What is Jose Lara's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jose Lara enrolled in Medicare?

Yes. Jose Lara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Lara was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.