Individual provider Active NPI

Quati Makeeta, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1194701896
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7227 Issued in AZ
Practice address
10214 N Tatum Blvd Ste A1500
Phoenix, AZ 85028-4203
Phone
(602) 808-8828
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008785 PA
Chiropractor 111N00000X 3913 AZ
Chiropractor 111N00000X 7227 AZ Primary
Chiropractor 111N00000X 2688 MA
Chiropractor 111N00000X AI008658 PA

Addresses

Primary practice location

10214 N Tatum Blvd Ste A1500
Phoenix, AZ 85028-4203

Mailing address

10214 N Tatum Blvd Ste A1500
Phoenix, AZ 85028-4203
Phone (602) 808-8828

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
3913AZMDCognitive & Behavioral Psychologist
AI008658PAMDChiropractor
DC008785PAMDChiropractor
7227AZMDDentist
2688MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1194701896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE A1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284203",
            "telephone_number": "602-808-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE A1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284203",
            "telephone_number": "602-808-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKEETA",
        "first_name": "QUATI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008785",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3913",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7227",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2688",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AI008658",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2018; 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.