Individual provider Active NPI

Richard Alexander Swartz, DC

  • Chiropractor
  • Avondale, AZ
National Provider Identifier
1073978649
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9278 Issued in AZ
Practice address
12725 W Indian School Rd Ste B103
Avondale, AZ 85392-9522
Phone
(623) 250-3070
Fax
(602) 313-3228
NPI assigned
Dec 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9278 AZ Primary

Addresses

Primary practice location

12725 W Indian School Rd Ste B103
Avondale, AZ 85392-9522

Mailing address

12725 W Indian School Rd Ste B103
Avondale, AZ 85392-9522
Phone (623) 250-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160405000070 CT Practitioner - Chiropractic 5294032330 Reassigns benefits to 1 organization
I20240708003322 AZ Practitioner - Chiropractic 5294032330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12725 W Indian School Rd
Suite B103
Avondale, AZ 85392-9522
Phone (623) 250-3070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019CTMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic and Sports Medicine, LLC Chiropractor CurrentSince May 18, 2024 Accepting new patients
Physical Synergy, LLC Chiropractor CurrentSince Jan 16, 2016 Accepting new patients

Locations

12725 W Indian School Rd
Ste B103
Avondale, AZ 85392
Phone (623) 250-3070

340 Post Rd
Fairfield, CT 06824
Phone (203) 259-3210

Organizations & group practices 2

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": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1073978649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE B103",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929522",
            "telephone_number": "623-250-3070",
            "fax_number": "602-313-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE B103",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929522",
            "telephone_number": "623-250-3070",
            "fax_number": "602-313-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "RICHARD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.