Active NPI
David James Iacuone, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1104854520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7701
- Practice address
- 720 E Thunderbird Rd Ste 1
Phoenix, AZ 85022-5396 - Phone
- (602) 439-1515
- Fax
- (602) 439-1535
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7701 | AZ | Primary |
Addresses
Primary practice location
720 E Thunderbird Rd Ste 1
Phoenix, AZ 85022-5396
Mailing address
720 E Thunderbird Rd Ste 1
Phoenix, AZ 85022-5396
Phone (602) 439-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060803000048 | AZ | Practitioner - Chiropractic | 3173558574 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ki Holdings
Practice addresses (Care Compare)
720 E Thunderbird Rd
Suite 1
Phoenix, AZ 85022-5396
Phone (602) 439-1515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7701 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ki Holdings | Chiropractor | Current | Accepting new patients |
| KP Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Activator Health Center | Chiropractor | Past | Accepting new patients |
| Mainland Chiropractic Clinic, LLC | Chiropractor | Past | Accepting new patients |
Locations
720 E Thunderbird Rd
Ste 1
Phoenix, AZ 85022
Phone (602) 439-1515
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Phoenix, AZ
- NPI 1720025554
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- Chiropractor
- Phoenix, AZ
- NPI 1699708594
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- Chiropractor
- La Marque, TX
- NPI 1871636209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1104854520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E THUNDERBIRD RD STE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225396",
"telephone_number": "602-439-1515",
"fax_number": "602-439-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E THUNDERBIRD RD STE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850225396",
"telephone_number": "602-439-1515",
"fax_number": "602-439-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACUONE",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7701",
"primary": true
}
],
"identifiers": [],
"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 Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.