Individual provider Active NPI

Benjamin Aaron Brown Imagire, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1073936043
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8370 Issued in AZ
Practice address
4646 E. Fort Lowell Rd.
Suite 101
Tucson, AZ 85712
Phone
(520) 987-6523
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8370 AZ Primary

Addresses

Primary practice location

4646 E. Fort Lowell Rd.
Suite 101
Tucson, AZ 85712

Mailing address

4225 E Fairmount St. #8
Tucson, AZ 85712
Phone (520) 987-6523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118001640 HI Practitioner - Chiropractic 5698097459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Basics ChiropracticGroup PAC ID 2466709209, 2 clinicians

Practice addresses (Care Compare)

16 -590 Old Volcano Rd
Suite D
Keaau, HI 96749-8158
Phone (408) 809-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Basics Chiropractic Chiropractor CurrentSince Nov 10, 2018 Accepting new patients
Minorik Chiropractic Center Chiropractor Past Accepting new patients
Minorik Health and Wellness Center Inc PastSince Feb 25, 2016 Accepting new patients

Locations

16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942

16-590 Old Volcano Rd
Ste D
Keaau, HI 96749
Phone (408) 809-1844

Organizations & group practices 3

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": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1073936043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 E FAIRMOUNT ST. #8",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-987-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E. FORT LOWELL RD.",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-987-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAGIRE",
        "first_name": "BENJAMIN",
        "middle_name": "AARON BROWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.