Individual provider Active NPI

Evin Pingalore, DC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1033829247
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9204 Issued in AZ
Practice address
3001 N Skyline Blvd
Suite #115
Tucson, AZ 85718
Phone
(520) 344-9651
NPI assigned
Nov 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9204 AZ Primary

Addresses

Primary practice location

3001 N Skyline Blvd
Suite #115
Tucson, AZ 85718

Mailing address

3001 North Skyline Blvd
#115
Tucson, AZ 85718
Phone (520) 344-9651

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drevinpingalore@thesourcechiro.com

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
9204AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1033829247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NORTH SKYLINE BLVD",
            "address_2": "#115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-344-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N SKYLINE BLVD",
            "address_2": "SUITE #115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-344-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGALORE",
        "first_name": "EVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drevinpingalore@thesourcechiro.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "3001 N Skyline Blvd",
            "address_2": "Suite #115",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.