Individual provider Active NPI

Robert Hedeen, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1003392549
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8654 Issued in AZ
Practice address
4001 E Mountain Sky Ave Ste 101
Phoenix, AZ 85044-3743
Phone
(480) 619-2020
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8654 AZ Primary

Addresses

Primary practice location

4001 E Mountain Sky Ave Ste 101
Phoenix, AZ 85044-3743

Mailing address

4001 E Mountain Sky Ave Ste 101
Phoenix, AZ 85044-3743
Phone (480) 619-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8654AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Cameron Khavari PLLC Chiropractor Past Accepting new patients

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1003392549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E MOUNTAIN SKY AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443743",
            "telephone_number": "480-619-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E MOUNTAIN SKY AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443743",
            "telephone_number": "480-619-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEEN",
        "first_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.