Individual provider Active NPI

David L Fawcett, D.C.

  • Chiropractor
  • Show Low, AZ
National Provider Identifier
1043382252
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5199 Issued in AZ
Practice address
4731 S White Mountain Rd
Suite 1
Show Low, AZ 85901-7818
Phone
(928) 532-1200
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5199 AZ Primary

Addresses

Primary practice location

4731 S White Mountain Rd
Suite 1
Show Low, AZ 85901-7818

Mailing address

4731 S White Mountain Rd
Suite 1
Show Low, AZ 85901-7818
Phone (928) 532-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001023 AZ Practitioner - Chiropractic 5890720676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4731 S White Mountain Rd
Suite 1
Show Low, AZ 85901-7818
Phone (928) 532-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5199AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fawcett Chiropractic Inc Chiropractor CurrentSince Sep 25, 2012 Accepting new patients

Locations

4731 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-1200

4731 S White Mountain Rd
Ste 1
Show Low, AZ 85901
Phone (928) 532-1200

4731 S White Mountain Rd
#1
Show Low, AZ 85901
Phone (928) 532-1200

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1043382252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 S WHITE MOUNTAIN RD",
            "address_2": "SUITE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017818",
            "telephone_number": "928-532-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 S WHITE MOUNTAIN RD",
            "address_2": "SUITE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017818",
            "telephone_number": "928-532-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.