Provider Demographics
NPI:1780867572
Name:THOMPSON PEAK CHIROPRACTIC
Entity Type:Organization
Organization Name:THOMPSON PEAK CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SIPES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-538-1900
Mailing Address - Street 1:10101 E BELL RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2188
Mailing Address - Country:US
Mailing Address - Phone:480-538-1900
Mailing Address - Fax:480-538-1922
Practice Address - Street 1:10101 E BELL RD
Practice Address - Street 2:SUITE 107
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2188
Practice Address - Country:US
Practice Address - Phone:480-538-1900
Practice Address - Fax:480-538-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ77892Medicare PIN
AZU25937Medicare UPIN