Individual provider Active NPI

Debra M Pentz, DC

  • Rehabilitation Chiropractor
  • Mesa, AZ
National Provider Identifier
1134276256
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
6001 Issued in AZ
Practice address
6402 E Superstition Springs Blvd Ste 123
Mesa, AZ 85206-4391
Phone
(480) 833-0302
Fax
(480) 494-5770
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 6001 AZ Primary

Addresses

Primary practice location

6402 E Superstition Springs Blvd Ste 123
Mesa, AZ 85206-4391

Mailing address

6402 E Superstition Springs Blvd Ste 123
Mesa, AZ 85206-4391
Phone (480) 833-0302

Other identifiers 3

IdentifierTypeStateIssuer
5469728OtherAZCCN
AZ0248720OtherAZBCBS
2150605OtherAZ1ST HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001307 AZ Practitioner - Chiropractic 3173504248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pentz Health Services LLCGroup PAC ID 1557392214, 7 clinicians

Practice addresses (Care Compare)

6402 E Superstition Springs Blvd
Suite 123
Mesa, AZ 85206-4391
Phone (480) 833-0302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pentz Health Services LLC Chiropractor CurrentSince Jun 3, 2005 Accepting new patients
Infinite Health & Wellness Centers PLLC Chiropractor PastSince Aug 24, 2010 Accepting new patients

Locations

6402 E Superstition Springs Blvd
Ste 123
Mesa, AZ 85206
Phone (480) 794-1061

1919 E McKellips Rd
Ste 106
Mesa, AZ 85203
Phone (480) 833-0302

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134276256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064391",
            "telephone_number": "480-833-0302",
            "fax_number": "480-494-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064391",
            "telephone_number": "480-833-0302",
            "fax_number": "480-494-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTZ",
        "first_name": "DEBRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "6001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5469728",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0248720",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST HEALTH",
            "identifier": "2150605",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.