Individual provider Active NPI

James D. Atkinson, D.C.,

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1114013968
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6018 Issued in AZ
Practice address
8129 N 35TH Ave
#3
Phoenix, AZ 85051-5892
Phone
(602) 242-0000
Fax
(602) 995-4444
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3614 AZ
Chiropractor 111N00000X 6018 AZ Primary

Addresses

Primary practice location

8129 N 35TH Ave
#3
Phoenix, AZ 85051-5892

Mailing address

8129 N 35TH Ave
#3
Phoenix, AZ 85051-5892
Phone (602) 242-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000352 AZ Practitioner - Chiropractic 7618969577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8129 N 35TH Ave
Suite 3
Phoenix, AZ 85051-5892
Phone (602) 242-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3614AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic & Wellness Center, Inc Chiropractor CurrentSince Dec 3, 2003 Accepting new patients
Synergistic Wellness Solutions LLC Chiropractor Past Accepting new patients
Preferred Chiropractic Eight PC Chiropractor Past Accepting new patients

Locations

8129 N 35th Ave
Ste 3
Phoenix, AZ 85051
Phone (602) 242-0000

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1114013968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 N 35TH AVE",
            "address_2": "#3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515892",
            "telephone_number": "602-242-0000",
            "fax_number": "602-995-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8129 N 35TH AVE",
            "address_2": "#3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515892",
            "telephone_number": "602-242-0000",
            "fax_number": "602-995-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3614",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6018",
            "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 Oct 10, 2023; 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.