Active NPI
Melissa A Dencklau, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1063591121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7527
- Practice address
- 1107 E Bell Rd
Suite 14
Phoenix, AZ 85022-2691 - Phone
- (602) 866-3500
- Fax
- (602) 866-3510
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- 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 | 7527 | AZ | Primary |
Addresses
Primary practice location
1107 E Bell Rd
Suite 14
Phoenix, AZ 85022-2691
Mailing address
1107 E Bell Rd
Suite 14
Phoenix, AZ 85022-2691
Phone (602) 866-3500
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 |
|---|---|---|---|
| 7527 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospine, LLC | Past | Accepting new patients |
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.
-
- Point of Service
- Phoenix, AZ
- NPI 1013113976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063591121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 E BELL RD",
"address_2": "SUITE 14",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222691",
"telephone_number": "602-866-3500",
"fax_number": "602-866-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 E BELL RD",
"address_2": "SUITE 14",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222691",
"telephone_number": "602-866-3500",
"fax_number": "602-866-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENCKLAU",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7527",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.