COUNTRY CLUB CHIROPRACTIC LLC
NPI 1235208265
Chiropractor in Mesa, AZ

Active since November 06, 2006
1140 S COUNTRY CLUB DR, SUITE 111-B, MESA, AZ 85210(480) 834-1700(480) 834-1200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Club Chiropractic Llc NPPES

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

COUNTRY CLUB CHIROPRACTIC LLC (NPI 1235208265) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since November 2006. The organization lists Alvin Sanders Sanders, Sole Member Practicing Physician, as its authorized official.

NPPES Registry Identity

NPI1235208265
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOUNTRY CLUB CHIROPRACTIC LLC
Location Address1140 S COUNTRY CLUB DR, SUITE 111-BMesa, AZ 85210-4649
Mailing Address1140 S Country Club Dr, Suite 111-bMesa, AZ 85210-4649 · (480) 834-1700 · Fax (480) 834-1200
Fax(480) 834-1200
Organization SubpartNo
Authorized OfficialAlvin Sanders SandersSole Member Practicing Physician · (480) 834-1700
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1235208265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 5551
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.
1140 S COUNTRY CLUB DR, Mesa, AZ 85210

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

Other Providers at the Same Location NPPES

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

Chiropractor
1140 S COUNTRY CLUB DR, SUITE 111-B
MESA, AZ 85210

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 Country Club Chiropractic LLC's NPI number?

The NPI number for Country Club Chiropractic LLC is 1235208265. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Country Club Chiropractic LLC located?

Country Club Chiropractic LLC is located at 1140 S Country Club Dr Suite 111-B, Mesa, AZ 85210. The listed phone number is (480) 834-1700.

What is Country Club Chiropractic LLC'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 Country Club Chiropractic LLC was last updated on August 22, 2020. 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.