Individual provider Active NPI

Scott Aaron Mitchell, D.C.

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1134204126
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7771 Issued in AZ
Practice address
17215 N 72ND Dr
Ste 105
Glendale, AZ 85308-8558
Phone
(623) 878-8200
NPI assigned
Oct 26, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7771 AZ Primary

Addresses

Primary practice location

17215 N 72ND Dr
Ste 105
Glendale, AZ 85308-8558

Mailing address

17215 N 72ND Dr
Ste 105
Glendale, AZ 85308-8558
Phone (623) 878-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000229 AZ Practitioner - Chiropractic 4284737057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9844 W Yearling Rd
Suite D1100
Peoria, AZ 85383-1381
Phone (623) 878-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Chiropractic LLC Chiropractor CurrentSince Aug 25, 2009 Accepting new patients
NJ Associates Inc. Chiropractor PastSince Aug 5, 2008 Accepting new patients
Bailey Chiropractic Chiropractor Past Accepting new patients
Kearny Chiropractic, LTD. Chiropractor PastSince May 1, 2006 Accepting new patients

Locations

17215 N 72nd Dr
Ste 105
Glendale, AZ 85308
Phone (623) 334-4056

9844 W Yearling Rd
Ste D1100
Peoria, AZ 85383
Phone (623) 878-8200

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, 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1134204126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 N 72ND DR",
            "address_2": "STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088558",
            "telephone_number": "623-878-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 N 72ND DR",
            "address_2": "STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088558",
            "telephone_number": "623-878-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SCOTT",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.