Provider Type Icon

MANCUSO CHIROPRACTIC LIFE CENTER NPI 1154572006


NPI Information

NPI: 1154572006
Provider Name: MANCUSO CHIROPRACTIC LIFE CENTER

Doing Business As: MCDOWELL MOUNTAIN CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 03D2020467

Address:
14700 N FRANK LLOYD WRIGHT BLVD
SUITE 155
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 767-1200
Get Directions

MANCUSO CHIROPRACTIC LIFE CENTER is a chiropractor in Scottsdale, AZ. The provider is 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. MANCUSO CHIROPRACTIC LIFE CENTER NPI is 1154572006. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcdowell Mountain Chiropractic.

The provider's business location address is:

14700 N FRANK LLOYD WRIGHT BLVD
SUITE 155
SCOTTSDALE, AZ
ZIP 85260-046
Phone: (480) 767-1200
Fax: (480) 767-7587

The provider's authorized official is David Anthony Mancuso .
The authorized official title is President and has the following contact phone number (480) 767-1200.

The CLIA number assigned to this NPI record is 03D2020467 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC5012ARIZONAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.