Provider Demographics
NPI:1467559369
Name:DAWN TAMES PC
Entity Type:Organization
Organization Name:DAWN TAMES PC
Other - Org Name:SACRED TOUCH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT DOCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:PERI
Authorized Official - Last Name:TAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-315-8444
Mailing Address - Street 1:10613 N HAYDEN RD SUITE J-108
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5576
Mailing Address - Country:US
Mailing Address - Phone:480-515-8444
Mailing Address - Fax:480-515-1244
Practice Address - Street 1:10613 N HAYDEN RD SUITE J-108
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5576
Practice Address - Country:US
Practice Address - Phone:480-515-8444
Practice Address - Fax:480-515-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0937990OtherBC BS INS CO
75376Medicare ID - Type Unspecified