✓ Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition (111NN1001X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

5TH STREET ASSOCIATES, INC (NPI #1962581413)

Chiropractor, Nutrition • TUCSON, AZ • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1962581413
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
111NN1001X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition
Box 32 Service Location & ZIP+4
6145 E 5TH ST, TUCSON, AZ, 85711-2505
✓ 9-Digit EDI 837 ZIP+4 (85711-2505)
Practice Phone & Referral Fax
Fax: (520) 745-7846
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962581413 (5TH STREET ASSOCIATES, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1962581413 (NPI-2 Organization / Facility)
Provider / Legal Name5TH STREET ASSOCIATES, INC
Plain-English SpecialtyLicensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition
NUCC Code: 111NN1001X (Chiropractor, Nutrition)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address6145 E 5TH ST, TUCSON, AZ, 85711-2505
Practice Telephone / FaxTel: (520) 745-1611 | Fax: (520) 745-7846
Administrative Mailing Address6145 E 5TH ST, TUCSON, AZ, 85711-2505
Enumeration & Last SyncEnumerated: 2006-11-03 | CMS Record Updated: 2020-08-22
Authorized OfficialDEBORAH KELEHER-DICKERSON (owner/bookkeeper)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6145 E 5TH ST, TUCSON, AZ, 85711-2505

🗺️ Open in Google Maps 🏥 More Providers in TUCSON

Plain-English Taxonomy & CMS Crosswalk (111NN1001X)

What Does Taxonomy Code 111NN1001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NN1001X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Nutrition for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (5TH STREET ASSOCIATES, INC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
111NN1001X — Chiropractor, Nutrition
Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition
State: AZ | License: 0078522 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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