Individual provider Active NPI

Rosanne Marie Dukart, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1164507067
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5869 Issued in AZ
Practice address
4626 E Fort Lowell Rd
Suite N
Tucson, AZ 85712-1184
Phone
(520) 323-0466
Fax
(520) 323-6466
NPI assigned
Oct 26, 2006
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5869 AZ Primary

Addresses

Primary practice location

4626 E Fort Lowell Rd
Suite N
Tucson, AZ 85712-1184

Mailing address

4626 E Fort Lowell Rd
Ste D
Tucson, AZ 85712-1127
Phone (520) 818-3843

Other identifiers 4

IdentifierTypeStateIssuer
AZ5869OtherAZLANDMARK PROVIDER ID
650634OtherAZACN PROVIDER ID
RD1024962OtherAZASHN PROVIDER NUMBER
AZ0247360OtherAZBC/BS OF AZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5869AZMDPhysician Assistant

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1164507067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 E FORT LOWELL RD",
            "address_2": "STE D",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121127",
            "telephone_number": "520-818-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 E FORT LOWELL RD",
            "address_2": "SUITE N",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121184",
            "telephone_number": "520-323-0466",
            "fax_number": "520-323-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKART",
        "first_name": "ROSANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK PROVIDER ID",
            "identifier": "AZ5869",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER ID",
            "identifier": "650634",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN PROVIDER NUMBER",
            "identifier": "RD1024962",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0247360",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.