Active NPI
Debra M Pentz, DC
- Rehabilitation Chiropractor
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 6001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5469728 | Other | AZ | CCN |
| AZ0248720 | Other | AZ | BCBS |
| 2150605 | Other | AZ | 1ST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pentz Health Services LLC | Chiropractor | Current | Accepting new patients |
| Infinite Health & Wellness Centers PLLC | Chiropractor | Past | 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.
-
- Chiropractor
- Mesa, AZ
- NPI 1114206638
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.