Individual provider Active NPI

Michael Nash, D.C.

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1184609786
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7325 Issued in AZ
Practice address
1202 Willow Creek Rd
Prescott, AZ 86301-1400
Phone
(928) 771-9400
Fax
(928) 771-9464
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bennett Clinic LLC 3 clinicians

Practice addresses (Care Compare)

3191 Stillwater Dr
Suite B
Prescott, AZ 86305-7143

3191 Stillwater Dr
Suite B
Prescott, AZ 86305-7145
Phone (928) 771-9400

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050527000089 AZ Practitioner - Chiropractic 6002858289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Clinic LLC CurrentSince Aug 1, 2010 Accepting new patients
Bennett Clinic LLC CurrentSince Aug 1, 2010 Accepting new patients

Locations

1202 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 771-9400

3191 Stillwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 212-1479

7749 E Florentine Rd
Ste B
Prescott Vly, AZ 86314
Phone (928) 308-7161

7876 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 772-7200

Interoperability endpoints

  • Direct secure messaging: michael.nash.1@29676.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7325 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

1202 Willow Creek Rd
Prescott, AZ 86301-1400

Mailing address

1202 Willow Creek Rd
Prescott, AZ 86301-1400
Phone (928) 771-9400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2011.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1184609786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011400",
            "telephone_number": "928-771-9400",
            "fax_number": "928-771-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011400",
            "telephone_number": "928-771-9400",
            "fax_number": "928-771-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.