Individual provider Active NPI

Mary Megan Santos, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1063997088
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8377 Issued in AZ
Practice address
4904 S Power Rd Ste 105
Mesa, AZ 85212-3610
Phone
(480) 634-7844
Fax
(480) 284-5464
NPI assigned
Sep 25, 2018
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8377 AZ Primary
Physical Medicine & Rehabilitation Physician 208100000X 5335 AZ

Addresses

Primary practice location

4904 S Power Rd Ste 105
Mesa, AZ 85212-3610

Mailing address

4904 S Power Rd Ste 105
Mesa, AZ 85212-3610
Phone (480) 634-7844

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8377AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic PLLC Chiropractor 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1063997088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 S POWER RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123610",
            "telephone_number": "480-634-7844",
            "fax_number": "480-284-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 S POWER RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123610",
            "telephone_number": "480-634-7844",
            "fax_number": "480-284-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARY",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8377",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "5335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.