Healthcare Provider Details

I. General information

NPI: 1104283993
Provider Name (Legal Business Name): CONNECTED MEDICAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2016
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 E SHEA BLVD STE 156
PHOENIX AZ
85028-3399
US

IV. Provider business mailing address

4940 E ALTADENA AVE
SCOTTSDALE AZ
85254-4627
US

V. Phone/Fax

Practice location:
  • Phone: 480-526-0404
  • Fax: 480-427-4513
Mailing address:
  • Phone: 480-526-0404
  • Fax: 480-718-8338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8251
License Number StateAZ

VIII. Authorized Official

Name: ROSS DYE
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 480-300-2295