Organization Active NPI

Scottsdale Chiropractic, PC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1114016557
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ4757 Issued in AZ
Legal business name
SCOTTSDALE CHIROPRACTIC, PC
Practice address
2765 N. Scottsdale Road
Suite 108
Scottsdale, AZ 85257
Phone
(480) 990-1818
Fax
(480) 947-5797
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Dr. Robert F. Leibmann, D.C.NPI 1114971389
Title
Ceo
Phone
(480) 949-1630

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 AZ4757 AZ Primary

Addresses

Primary practice location

2765 N. Scottsdale Road
Suite 108
Scottsdale, AZ 85257

Mailing address

2765 N. Scottsdale Road
Suite 108
Scottsdale, AZ 85257
Phone (480) 990-1818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070302000168 AZ Part B Supplier - Clinic/Group Practice 6800998212 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1455 S Stapley Dr
Ste 27
Mesa, AZ 85204
Phone (480) 632-0990

2515 N Scottsdale Rd
Ste 11
Scottsdale, AZ 85257
Phone (480) 990-1818

Practitioners & affiliated clinicians

Practitioners 6

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1114016557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 N. SCOTTSDALE ROAD",
            "address_2": "SUITE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-990-1818",
            "fax_number": "480-947-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 N. SCOTTSDALE ROAD",
            "address_2": "SUITE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-990-1818",
            "fax_number": "480-947-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "LEIBMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-949-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ4757",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2022; 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.