DR. MICHAEL NYHOLM-JENSEN IV (NPI# 1245255173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245255173 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL NYHOLM-JENSEN IV |
| Credential | DC |
| Practice Address |
20329 N 59th Ave Suite A5 Glendale AZ 85308-6853 |
| Practice Telephone | 6235668975 |
| Practice Fax Number | 6235669764 |
| Mailing Telephone | 6235668975 |
| Mailing Fax Number | 6235669764 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 200003291 | AZ | Chiropractic Providers |
| Street Address |
20329 N 59TH AVE SUITE A5 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167083 | Eric Ruta | Optometrist | 20329 N 59th Ave, #8, Glendale, AZ 85308-6853 | 2005-10-10 |
| 1912527714 | Sierra Kaye Hill | Specialist/Technologist | 20329 N 59th Ave, Glendale, AZ 85308-6853 | 2020-04-21 |
| 1982115432 | Jennifer Wagner | Occupational Therapist | 20329 N 59th Ave, Glendale, AZ 85308-6853 | 2017-10-23 |
| 1770702904 | Arrowhead Lakes Chiropractic, Inc. | Chiropractor | 20329 N 59th Ave, Suite A5, Glendale, AZ 85308-6853 | 2007-04-25 |
| 1861466385 | Joe Bryant | Dentist | 20329 N 59th Ave, Suite A-11, Glendale, AZ 85308-6853 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1174139042 | Fitness Covered Group LLC | Chiropractor | 654 Hawthorne St, Glendale, CA 91204-1002 | 2020-09-16 |
| 1558979732 | Fitness Covered LLC | Chiropractor | 654 Hawthorne St Ste B, Glendale, CA 91204-1002 | 2020-07-14 |
| 1386283182 | Jensen Moore Chiropractic Pllc | Chiropractor | 6033 W Bell Rd Ste H, Glendale, AZ 85308-3764 | 2019-12-27 |
| 1346888336 | Farzan Billimoria | Chiropractor | 18301 N 79th Ave Ste H192, Glendale, AZ 85308-8457 | 2019-12-20 |
| 1083170492 | Flex Pt and Chiropractic Medical Group A Medical Corporation | Chiropractor | 500 N Central Ave Ste 225, Glendale, CA 91203-1994 | 2019-02-11 |
| 1194200493 | Trinity Chiropractic, LLC | Chiropractor | 18275 N 59th Ave Ste 178, Glendale, AZ 85308-1254 | 2018-10-02 |
| 1033600101 | Michael Dellacorte | Chiropractor | 2505 Canada Blvd, Glendale, CA 91208-2042 | 2018-05-24 |
| 1891202909 | The Wellness Center, Inc | Chiropractor | 870 S Colorado Blvd Ste 200, Glendale, CO 80246-2080 | 2018-01-10 |
| 1598295180 | Weathersby Chiropractic | Chiropractor | 6033 W. Bell Road, Suite H, Glendale, AZ 85308-3764 | 2017-06-15 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.