SPORT AND SPINE CHIROPRACTIC PLLC
NPI 1194351379
Chiropractor in Tempe, AZ

Active since March 19, 2020
2155 E UNIVERSITY DR STE 111, TEMPE, AZ 85281(480) 454-4776 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sport And Spine Chiropractic Pllc NPPES

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

SPORT AND SPINE CHIROPRACTIC PLLC (NPI 1194351379), doing business as Axis Spine And Sport, is a healthcare organization registered as a chiropractor in Tempe, Arizona and active in the NPI registry since March 2020. The organization lists Robert Dylan Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1194351379
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPORT AND SPINE CHIROPRACTIC PLLC
Location Address2155 E UNIVERSITY DR STE 111Tempe, AZ 85281-4685
Mailing Address2155 E University Dr Ste 111Tempe, AZ 85281-4685 · (480) 454-4776
Organization SubpartNo
Authorized OfficialRobert Dylan HernandezOwner · (702) 277-0578
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
NPI 1194351379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
2155 E UNIVERSITY DR STE 111, Tempe, AZ 85281

Other Names 1

Doing Business AsAxis Spine And Sport

Other Identifiers 1

Other1548802333AZ · Npi

Group Practice 1

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

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 Sport And Spine Chiropractic PLLC's NPI number?

The NPI number for Sport And Spine Chiropractic PLLC is 1194351379. It was assigned to this organization in the NPPES registry on March 19, 2020. The provider is doing business as Axis Spine and Sport.

Where is Sport And Spine Chiropractic PLLC located?

Sport And Spine Chiropractic PLLC is located at 2155 E University Dr Ste 111, Tempe, AZ 85281. The listed phone number is (480) 454-4776.

What is Sport And Spine Chiropractic PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sport And Spine Chiropractic PLLC was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.