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DESERT RIDGE SPINE, INC
NPI 1912035965
Chiropractor in Mesa, AZ

Active since March 01, 2007
3035 S ELLSWORTH RD, SUITE 109, MESA, AZ 85212(480) 832-3318(480) 621-7208 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desert Ridge Spine, Inc NPPES

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

DESERT RIDGE SPINE, INC (NPI 1912035965) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since March 2007. The organization lists Tom Ohara, President, as its authorized official.

NPPES Registry Identity

NPI1912035965
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDESERT RIDGE SPINE, INC
Location Address3035 S ELLSWORTH RD, SUITE 109Mesa, AZ 85212-2160
Mailing Address3035 S Ellsworth Rd, Suite 109Mesa, AZ 85212-2160 · (480) 832-3318 · Fax (480) 621-7208
Phone(480) 832-3318
Fax(480) 621-7208
Organization SubpartNo
Authorized OfficialTom OharaPresident · (480) 832-3318
Enumeration DateMarch 1, 2007
Last NPPES UpdateOctober 9, 2007
✔ NPI 1912035965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · DC4914
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.
3035 S ELLSWORTH RD, Mesa, AZ 85212
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Other Identifiers 3

Medicare PINZ113708AZ
OtherAZ0236730AZ · Blue Cross
Medicare UPINU25671AZ

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 10

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

JOSHUA N LACANLALE P.T.
Physical Therapist (Orthopedic)
3035 S ELLSWORTH RD, BLDG 4, #128
MESA, AZ 85212
Maricopa County (480) 357-6500
SURGICARE SHERIDAN SURGICAL SERVICES
Preferred Provider Organization
3035 S ELLSWORTH RD, SUITE 104
MESA, AZ 85212
Maricopa County (480) 354-7478
DR. KAREN MARIE ACEVEDO-MOGHARBEL D.O
Family Medicine
3035 S ELLSWORTH RD, SUITE 103
MESA, AZ 85212
Maricopa County (480) 736-1777
VALERIE L SHERIDAN DO
Surgery
3035 S ELLSWORTH RD, SUITE 104
MESA, AZ 85212
Maricopa County (480) 354-7478
ERIC JAMES BLOOM DPT
Physical Therapist
3035 S ELLSWORTH RD, BUILDING 4, SUITE 128
MESA, AZ 85212
Maricopa County (480) 357-6500
AMELIA MAE CAMPBELL AGPCNP-BC
Nurse Practitioner
3035 S ELLSWORTH RD, SUITE 135
MESA, AZ 85212
Maricopa County (623) 295-4906
DR. ERIC REID NIELSON DMD
Dentist (General Practice)
3035 S ELLSWORTH RD, 138
MESA, AZ 85212
Maricopa County (480) 357-9442
TIMOTHY HINTON PT
Physical Therapist
3035 S ELLSWORTH RD, BDLG 164 SUITE 128
MESA, AZ 85212
Maricopa County (480) 357-6500

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 Desert Ridge Spine, Inc's NPI number?

The NPI number for Desert Ridge Spine, Inc is 1912035965. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Desert Ridge Spine, Inc located?

Desert Ridge Spine, Inc is located at 3035 S Ellsworth Rd Suite 109, Mesa, AZ 85212. The listed phone number is (480) 832-3318.

What is Desert Ridge Spine, Inc'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 Desert Ridge Spine, Inc was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.