Active NPI
Stephen Gubernick, DC
- Chiropractor
- Scottsdale, AZ
National Provider Identifier
1053636639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8103
- Practice address
- 10401 E McDowell Mountain Ranch Rd # D120
Scottsdale, AZ 85255-8698 - Phone
- (602) 821-9462
- NPI assigned
- Apr 7, 2010
- Last updated
- May 4, 2023
- 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 | 8103 | AZ | Primary |
Addresses
Primary practice location
10401 E McDowell Mountain Ranch Rd # D120
Scottsdale, AZ 85255-8698
Mailing address
10401 E McDowell Mountain Ranch Rd # D120
Scottsdale, AZ 85255-8698
Phone (602) 821-9462
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Acupuncturist
- Scottsdale, AZ
- NPI 1912517376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1053636639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 E MCDOWELL MOUNTAIN RANCH RD # D120",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852558698",
"telephone_number": "602-821-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 E MCDOWELL MOUNTAIN RANCH RD # D120",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852558698",
"telephone_number": "602-821-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBERNICK",
"first_name": "STEPHEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-07",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.