Individual provider Active NPI

Dennis Lee Cathcart, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1164572061
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04994 Issued in AZ
Practice address
4150 W Peoria Ave
Ste 134
Phoenix, AZ 85029-3954
Phone
(602) 242-7537
Fax
(602) 242-4169
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 04994 AZ Primary

Addresses

Primary practice location

4150 W Peoria Ave
Ste 134
Phoenix, AZ 85029-3954

Mailing address

4150 W Peoria Ave
Ste 134
Phoenix, AZ 85029-3954
Phone (602) 242-7537

Other identifiers 2

IdentifierTypeStateIssuer
AZ0293440OtherAZBLUECROSS BLUESHIELD
AX2979OtherAZHEALTHNET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000068 AZ Practitioner - Chiropractic 2668544255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4150 W Peoria Ave
Suite 134
Phoenix, AZ 85029-3954
Phone (602) 242-7537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04994AZMDChiropractor
4994AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Life Chiropractic Center, LLC Chiropractor CurrentSince Aug 13, 2012 Accepting new patients

Locations

4150 W Peoria Ave
Ste 134
Phoenix, AZ 85029
Phone (602) 242-7537

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1164572061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE",
            "address_2": "STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293954",
            "telephone_number": "602-242-7537",
            "fax_number": "602-242-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE",
            "address_2": "STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293954",
            "telephone_number": "602-242-7537",
            "fax_number": "602-242-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHCART",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "04994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "AZ0293440",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AX2979",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "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 Sep 12, 2017; 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.