Active NPI
Steven J Dellisanti Jr., D.C.
- Chiropractor
- Prescott, AZ
National Provider Identifier
1043545445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8438
- Practice address
- 3609 Crossings Dr Ste a
Prescott, AZ 86305-7133 - Phone
- (928) 923-4885
- NPI assigned
- Oct 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3933 | OR | |
| Chiropractor | 111N00000X | 8438 | AZ | Primary |
Addresses
Primary practice location
3609 Crossings Dr Ste a
Prescott, AZ 86305-7133
Mailing address
3609 Crossings Dr Ste a
Prescott, AZ 86305-7133
Phone (928) 923-4885
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3933 | OR | MD | Clinical Social Worker |
| 8438 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1043545445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 CROSSINGS DR STE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057133",
"telephone_number": "928-923-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 CROSSINGS DR STE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057133",
"telephone_number": "928-923-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLISANTI",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-02",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3933",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.