Individual provider Active NPI

Brian Conant Austin, D.C.

  • Chiropractor
  • Anthem, AZ
National Provider Identifier
1003010638
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9033 Issued in AZ
Practice address
42302 N Vision Way Ste 115
Anthem, AZ 85086-1468
Phone
(602) 500-7399
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9033 AZ Primary

Addresses

Primary practice location

42302 N Vision Way Ste 115
Anthem, AZ 85086-1468

Mailing address

42302 N Vision Way Ste 115
Anthem, AZ 85086-1468
Phone (602) 500-7399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303001101 AZ Practitioner - Chiropractic 1052595204 Practice locations: Anthem, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42302 N Vision Way
Suite 115
Anthem, AZ 85086-1468
Phone (619) 920-8579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9033AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Austin, LLC Chiropractor CurrentSince Jun 18, 2023 Accepting new patients

Locations

41810 N Venture Dr
Ste C122
Phoenix, AZ 85086
Phone (623) 688-1498

42302 N Vision Way
Ste 115
Phoenix, AZ 85086
Phone (602) 500-7399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1003010638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42302 N VISION WAY STE 115",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861468",
            "telephone_number": "602-500-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42302 N VISION WAY STE 115",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861468",
            "telephone_number": "602-500-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "BRIAN",
        "middle_name": "CONANT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.