Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountainside Wellness Center Inc

Organization Chiropractor · NPI 1053583450

Mountainside Wellness Center Inc is a Chiropractor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16515 S 40th St Ste 129
Phoenix, AZ 85048-0560
Phone: (480) 940-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7077 (AZ)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 3751 (AZ)

Record details

NPI number1053583450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mettham — Vice President · (480) 940-7444
NPI enumeratedMarch 26, 2008
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address4909 E Chandler Blvd Ste 502, Phoenix, AZ 85048-0863

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