MATTHEW DORCHESTER DC CCSP LLC NPI 1962697706

NPI Information

NPI: 1962697706
Provider Name: MATTHEW DORCHESTER, DC, CCSP, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
18325 N ALLIED WAY
SUITE 105
PHOENIX, AZ
ZIP 85054
Phone: (480) 991-3399
Get Directions

MATTHEW DORCHESTER, DC, CCSP, LLC is a general practice in Phoenix, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MATTHEW DORCHESTER, DC, CCSP, LLC NPI is 1962697706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18325 N ALLIED WAY
SUITE 105
PHOENIX, AZ
ZIP 85054-105
Phone: (480) 991-3399
Fax: (480) 905-0815

The provider's authorized official is Matthew Dorchester .
The authorized official title is Physician and has the following contact phone number (480) 991-3399.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 1/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NS0005X	Chiropractor	Sports Physician	1578	ARIZONA	No
2	208D00000X	General Practice		10597	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z117689	OTHER	ARIZONA	PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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