MEDICARE: NEW BEGINNINGS CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC4998	AZ

General Provider Information

NPI Number	:	1326122334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	21050 N TATUM BLVD
Second Line	:	SUITE# 200
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4260
Country	:	US
Telephone Number	:	480-515-5432
Fax Number	:	480-515-5444

Provider Business Practice Location Address
First Line	:	21050 N TATUM BLVD
Second Line	:	SUITE# 200
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4260
Country	:	US
Telephone Number	:	480-515-5432
Fax Number	:	480-515-5444

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARCY JAMES DIONISIO
Credential	:	D.C.
Telephone Number	:	480-515-5432

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/22/2020

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