Individual provider Active NPI

David A Warkentin, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1164590006
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7042 Issued in AZ
Practice address
4824 E Baseline Rd
Suite #140
Mesa, AZ 85206-4676
Phone
(480) 969-4040
Fax
(480) 830-8202
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7042 AZ Primary

Addresses

Primary practice location

4824 E Baseline Rd
Suite #140
Mesa, AZ 85206-4676

Mailing address

4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680
Phone (480) 969-4040

Other identifiers 1

IdentifierTypeStateIssuer
AZ0750140OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000455 AZ Practitioner - Chiropractic 8729013644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4824 E Baseline Rd
Suite 140
Mesa, AZ 85206-4680
Phone 4809694040302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7042AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Pain and Spine LLC CurrentSince Aug 1, 2020 Accepting new patients
Verve Wellness Center LLC Chiropractor CurrentSince Jan 2, 2001 Accepting new patients
Verve Chiropractic and Associates, LLC Chiropractor CurrentSince Sep 1, 2010 Accepting new patients
Neurology America LLC CurrentSince May 5, 2025 Accepting new patients
Pierpont Medical Group, LTD PastSince Apr 30, 2003 Accepting new patients

Locations

4824 E Baseline Rd
Ste 140
Mesa, AZ 85206
Phone (480) 969-4040

Organizations & group practices 5

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1164590006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-969-4040",
            "fax_number": "480-830-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD",
            "address_2": "SUITE #140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064676",
            "telephone_number": "480-969-4040",
            "fax_number": "480-830-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARKENTIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0750140",
            "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 Nov 9, 2023; 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.