Individual provider Active NPI

Nicholas J Pregont, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1104907815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7499 Issued in AZ
Practice address
8390 E Via de Ventura
Suite F114
Scottsdale, AZ 85258-3188
Phone
(480) 998-7501
Fax
(480) 998-5503
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7499 AZ Primary
Chiropractor 111N00000X 33810 WI

Addresses

Primary practice location

8390 E Via de Ventura
Suite F114
Scottsdale, AZ 85258-3188

Mailing address

8390 E Via de Ventura
Suite F114
Scottsdale, AZ 85258-3188
Phone (480) 998-7501

Other identifiers 2

IdentifierTypeStateIssuer
AZ0942680OtherAZBLUE CROSS BLUE SHIELD
5607699OtherAZTHE FIRST HEALTH NETWORK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610001087 MI Practitioner - Chiropractic 1355319443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieving Health Chiropractic Plus PCGroup PAC ID 1456412758, 2 clinicians

Practice addresses (Care Compare)

40020 Five Mile Rd
Plymouth, MI 48170-2764
Phone (734) 420-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33810WIMDChiropractor
7499AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving Health Chiropractic Plus PC Chiropractor CurrentSince May 22, 2015 Accepting new patients
NJP Chiropractic Corp Chiropractor PastSince Sep 1, 2004 Accepting new patients

Locations

40020 Five Mile Rd
Plymouth, MI 48170
Phone (734) 420-3434

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104907815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA",
            "address_2": "SUITE F114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583188",
            "telephone_number": "480-998-7501",
            "fax_number": "480-998-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA",
            "address_2": "SUITE F114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583188",
            "telephone_number": "480-998-7501",
            "fax_number": "480-998-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREGONT",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7499",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "33810",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0942680",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FIRST HEALTH NETWORK",
            "identifier": "5607699",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.