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

Dr. Jose Lara, DC

Individual provider Chiropractor · NPI 1104824812

Dr. Jose Lara, DC is a Chiropractic in Phoenix, Arizona. Graduated from Life Chiropractic College in 1993, 33 years ago. Practices with Gonstead Physicalmedicine PC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
33
Trained at
Life Chiropractic College
Licensed in
AZ
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2735 W Union Hills Dr Ste 102
Phoenix, AZ 85027-5033
Phone: (602) 973-1630
Fax: (602) 973-1667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5303 (AZ)

Record details

NPI number1104824812
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESMay 20, 2008
Mailing address2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1993 (33 years in practice)
Group practice Gonstead Physicalmedicine Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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