VICENA CHIROPRACTIC SC (NPI# 1720207210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720207210 |
| Entity Type | Organization |
| Organization Name | VICENA CHIROPRACTIC SC |
| Practice Address |
6344 E Broadway Rd Suite 102 Mesa AZ 85206-1634 |
| Practice Telephone | 4808542222 |
| Practice Fax Number | 4808073781 |
| Mailing Telephone | 4808542222 |
| Mailing Fax Number | 4808073781 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARIANNE ELIZABETH REMALIA (OFFICE MANAGER) |
| Authorized Official Telephone | 4808542222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5429 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD AZ | AZ0247740 | 01 |
| AZ | HEALTHNET | 1Z4184 | 01 |
| Street Address |
6344 E BROADWAY RD SUITE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494318 | Lisa Marie Edin Browning | Social Worker | 6344 E Broadway Rd, Suite 104, Mesa, AZ 85206 | 2005-11-14 |
| 1205022407 | Nassan and Associates | Prosthetic/Orthotic Supplier | 6344 E Broadway Rd, Suite 103, Mesa, AZ 85206-1634 | 2007-09-20 |
| 1235240920 | Southeast Valley Urology PC | Urology | 6344 E Broadway Rd, Suite 112, Mesa, AZ 85206-1634 | 2006-08-31 |
| 1871607689 | Copper Leaf Counseling LLC | Social Worker | 6344 E Broadway Rd, Suite 104, Mesa, AZ 85206-1634 | 2006-08-18 |
| 1689682742 | Linda L Treloar | Nurse Practitioner | 6344 E Broadway Rd, Suite 118, Mesa, AZ 85206-1634 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1396359626 | Adapt Chiropractic Pllc | Chiropractor | 1728 S Greenfield Rd Ste 109, Mesa, AZ 85206-3484 | 2020-09-03 |
| 1699391052 | Emily Weber | Chiropractor | 3426 E Baseline Rd, Mesa, AZ 85204-7291 | 2020-06-22 |
| 1285280099 | Mesa Chiropractic Pllc | Chiropractor | 6731 E Brown Rd Ste 101, Mesa, AZ 85205-4964 | 2019-08-16 |
| 1801352406 | Kwd Enterprises, LLC | Chiropractor | 1107 S Gilbert Rd Ste 111, Mesa, AZ 85204-5233 | 2019-02-19 |
| 1124524111 | Bryce Garst | Chiropractor | 6836 E Brown Rd Ste 102, Mesa, AZ 85207-3756 | 2018-03-30 |
| 1508369174 | Colby Ivan Davis | Chiropractor | 4904 S Power Rd Ste 105, Mesa, AZ 85212-3610 | 2018-03-09 |
| 1366953200 | Yunjae Park | Chiropractor | 1116 S Dobson Rd Ste 126, Mesa, AZ 85202-3920 | 2017-10-18 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1285179457 | Tecla Fuller | Chiropractor | 1728 S Greenfield Rd, Suite 109, Mesa, AZ 85206-3485 | 2016-12-27 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| Find all providers in MESA | ||||
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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.