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WIDMAIER CHIROPRACTIC
NPI 1205187689
Clinic/Center in Phoenix, AZ

Active since September 26, 2012
5080 N 40TH ST STE 104, PHOENIX, AZ 85018(602) 954-6200(602) 956-1582 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2021, Jun 20, 2018, Nov 30, 2017 (3 updates tracked since 2017).

About Widmaier Chiropractic NPPES

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

WIDMAIER CHIROPRACTIC (NPI 1205187689) is a healthcare organization registered as a clinic/center in Phoenix, Arizona and active in the NPI registry since September 2012. The organization lists Randall S Widmaier, President, as its authorized official.

NPPES Registry Identity

NPI1205187689
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWIDMAIER CHIROPRACTIC
Location Address5080 N 40TH ST STE 104Phoenix, AZ 85018-2158
Mailing Address5080 N 40th St Ste 104Phoenix, AZ 85018-2158 · (602) 954-6200 · Fax (602) 956-1582
Phone(602) 954-6200
Fax(602) 956-1582
Organization SubpartNo
Authorized OfficialRandall S WidmaierPresident · (602) 954-6200
Enumeration DateSeptember 26, 2012
Last NPPES UpdateFebruary 18, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1205187689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AZ · 4220
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5080 N 40TH ST STE 104, Phoenix, AZ 85018
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Other Providers at the Same Location NPPES

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

DR. RANDALL SCOTT WIDMAIER DC
Chiropractor
5080 N 40TH ST STE 104
PHOENIX, AZ 85018
Maricopa County (602) 954-6200

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 Widmaier Chiropractic's NPI number?

The NPI number for Widmaier Chiropractic is 1205187689. It was assigned to this organization in the NPPES registry on September 26, 2012.

Where is Widmaier Chiropractic located?

Widmaier Chiropractic is located at 5080 N 40th St Ste 104, Phoenix, AZ 85018. The listed phone number is (602) 954-6200.

What is Widmaier Chiropractic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Widmaier Chiropractic was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.