Individual provider Active NPI

Patrick Darin Chiavaroli, D.C.

  • Sports Physician Chiropractor
  • Phoenix, AZ
National Provider Identifier
1093778060
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5738 Issued in AZ
Practice address
4646 E Greenway Rd
Suite 104
Phoenix, AZ 85032-4805
Phone
(602) 867-1444
Fax
(602) 867-7255
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5738 AZ Primary

Addresses

Primary practice location

4646 E Greenway Rd
Suite 104
Phoenix, AZ 85032-4805

Mailing address

4646 E Greenway Rd
Suite 104
Phoenix, AZ 85032-4805
Phone (602) 867-1444

Other identifiers 1

IdentifierTypeStateIssuer
AZ0245430OtherAZBCBS PROVIDER #

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093778060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-867-1444",
            "fax_number": "602-867-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-867-1444",
            "fax_number": "602-867-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAVAROLI",
        "first_name": "PATRICK",
        "middle_name": "DARIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "5738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "AZ0245430",
            "state": "AZ"
        }
    ],
    "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 13, 2026; 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.