Active NPI
Andrew B Altman, D.C.
- Chiropractor
- Mesa, AZ
National Provider Identifier
1023012747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5558
- Practice address
- 1824 W Plata Ave
Mesa, AZ 85202-8040 - Phone
- (602) 696-2225
- NPI assigned
- Jun 9, 2005
- Last updated
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5558 | AZ | Primary |
Addresses
Primary practice location
1824 W Plata Ave
Mesa, AZ 85202-8040
Mailing address
PO Box 24959
Tempe, AZ 85285-4959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
159 W Wickenburg Way
Suite 8
Wickenburg, AZ 85390-2225
Phone (602) 696-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5558 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Family Health & Rehab Center, P C. | Chiropractor | Current | Accepting new patients |
Locations
159 W Wickenburg Way
Ste 8
Wickenburg, AZ 85390
Phone (602) 696-2225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Mesa, AZ
- NPI 1902246242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1023012747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24959",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852854959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 W PLATA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852028040",
"telephone_number": "602-696-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "ANDREW",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.