Organization Active NPI

Oak Creek Chiropractic PC

  • Chiropractor
  • Sedona, AZ
National Provider Identifier
1083961346
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5594 Issued in AZ
Legal business name
OAK CREEK CHIROPRACTIC PC
Practice address
44 W Cortez Dr
Sedona, AZ 86351-8888
Phone
(928) 284-0004
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. David B Lehenbauer, D.C.NPI 1578630851
Title
President
Phone
(928) 284-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5594 AZ Primary

Addresses

Primary practice location

44 W Cortez Dr
Sedona, AZ 86351-8888

Mailing address

44 W Cortez Dr
Sedona, AZ 86351-8888
Phone (928) 284-0004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120813000316 AZ Part B Supplier - Clinic/Group Practice 9234385915 Receives reassigned benefits from 1 practitioner
Practice locations: Sedona, AZ

National Provider Directory

National Provider Directory

Locations

44 W Cortez Dr
Sedona, AZ 86351
Phone (520) 284-0004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1083961346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W CORTEZ DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518888",
            "telephone_number": "928-284-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W CORTEZ DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518888",
            "telephone_number": "928-284-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "LEHENBAUER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-284-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.