Individual provider Active NPI

Michael Walden Abromovitz, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1124227418
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7567 Issued in AZ
Practice address
1395 E Warner Rd
Ste. C102
Gilbert, AZ 85296-3160
Phone
(480) 635-8228
Fax
(480) 635-9972
NPI assigned
Jul 16, 2007
Last updated
May 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7567 AZ Primary
Rehabilitation Chiropractor 111NR0400X 7567 AZ

Addresses

Primary practice location

1395 E Warner Rd
Ste. C102
Gilbert, AZ 85296-3160

Mailing address

1395 E Warner Rd
Ste. C102
Gilbert, AZ 85296-3160
Phone (480) 635-8228

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115001043 AZ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 1557386430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Los Angeles College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1395 E Warner Rd
Suite C102
Gilbert, AZ 85296-3147
Phone (480) 635-8228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7567AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W Abromovitz DC LLC Chiropractor CurrentSince Jul 26, 2013 Accepting new patients

Locations

1395 E Warner Rd
Ste C102
Gilbert, AZ 85296
Phone (480) 635-8228

235 E Warner Rd
#B107
Gilbert, AZ 85296
Phone 48066333399

3330 S Price Rd
Ste D110
Tempe, AZ 85282
Phone (480) 345-2080

Organizations & group practices 1

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1124227418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E WARNER RD",
            "address_2": "STE. C102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963160",
            "telephone_number": "480-635-8228",
            "fax_number": "480-635-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E WARNER RD",
            "address_2": "STE. C102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963160",
            "telephone_number": "480-635-8228",
            "fax_number": "480-635-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABROMOVITZ",
        "first_name": "MICHAEL",
        "middle_name": "WALDEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7567",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.