Mountainside Wellness Center Inc
NPI 1053583450 · Chiropractor · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountainside Wellness Center Inc is a Chiropractor organization in Phoenix, AZ (NPI 1053583450).
Provider details
- NPI number
- 1053583450
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- John Mettham, Vice President(480) 940-7444
- License
- 3751 (AZ)
Specialties & taxonomies
Chiropractic Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Frequently asked questions
- What is Mountainside Wellness Center Inc's NPI number?
- Mountainside Wellness Center Inc's National Provider Identifier (NPI) is 1053583450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountainside Wellness Center Inc?
- Mountainside Wellness Center Inc is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Mountainside Wellness Center Inc located?
- Mountainside Wellness Center Inc's practice location on file with NPPES is 16515 S 40th St Ste 129, Phoenix, AZ 85048-0560.
- What is Mountainside Wellness Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Mountainside Wellness Center Inc is (480) 940-7444.
- Does Mountainside Wellness Center Inc accept Medicare?
- Mountainside Wellness Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountainside Wellness Center Inc?
- The authorized official listed on Mountainside Wellness Center Inc's NPPES record is John Mettham, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountainside Wellness Center Inc's NPI active?
- Yes — Mountainside Wellness Center Inc's NPI (1053583450) is active in the NPPES registry as of the last update on 2023-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.