Individual provider Active NPI

Christopher Borosak, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1043909559
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9281 Issued in AZ
Practice address
15620 N Tatum Blvd
Phoenix, AZ 85032-4450
Phone
(602) 612-2009
NPI assigned
May 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9281 AZ Primary

Addresses

Primary practice location

15620 N Tatum Blvd
Phoenix, AZ 85032-4450

Mailing address

6633 E Greenway Pkwy Apt 2017
Scottsdale, AZ 85254-2035
Phone (630) 518-2615

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glendale Medical Partners LLCGroup PAC ID 0446752968, 4 clinicians

Practice addresses (Care Compare)

9971 W Camelback Rd
Suite 105
Phoenix, AZ 85037-5011
Phone (623) 872-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9281AZMDChiropractor

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1043909559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 E GREENWAY PKWY APT 2017",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542035",
            "telephone_number": "630-518-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324450",
            "telephone_number": "602-612-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROSAK",
        "first_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9281",
            "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 May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.