Individual provider Active NPI

Charles Everts

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1144840406
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8895 Issued in AZ
Practice address
3120 E Union Hills Dr Ste 201
Phoenix, AZ 85050-3454
Phone
(602) 497-1111
NPI assigned
Apr 16, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8895 AZ Primary

Addresses

Primary practice location

3120 E Union Hills Dr Ste 201
Phoenix, AZ 85050-3454

Mailing address

1830 S Alma School Rd
Ste 135
Mesa, AZ 85210-3088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ibspro@cox.net Direct Pain & Wellness of Arizona, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123003052 AZ Practitioner - Chiropractic 4385055375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1830 S Alma School Rd
135 Lifecare Chiropractic
Mesa, AZ 85210-3088
Phone (480) 839-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Chiropractic Inc Chiropractor CurrentSince Nov 2, 2020 Accepting new patients

Locations

1830 S Alma School Rd
Mesa, AZ 85210
Phone (480) 730-6222

1830 S Alma School Rd
Ste 135
Mesa, AZ 85210
Phone (480) 491-4840

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1144840406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "STE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 E UNION HILLS DR STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503454",
            "telephone_number": "602-497-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ibspro@cox.net",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Pain & Wellness of Arizona, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3120 E Union Hills Dr Ste 201",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850503454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.