Individual provider Active NPI

Orlando Hubbell

  • Chiropractor
  • Queen Creek, AZ
National Provider Identifier
1225410467
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8480 Issued in AZ
Practice address
21323 S Ellsworth Loop Rd Ste 101
Queen Creek, AZ 85142-9865
Phone
(480) 307-8440
Fax
(480) 307-8560
NPI assigned
Jun 24, 2015
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8480 AZ Primary

Addresses

Primary practice location

21323 S Ellsworth Loop Rd Ste 101
Queen Creek, AZ 85142-9865

Mailing address

1450 W Guadalupe Rd
#120
Gilbert, AZ 85233-3042
Phone (480) 926-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002426 AZ Practitioner - Chiropractic 5799089785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellsworth Medical Group LLCGroup PAC ID 4082959267, 5 clinicians

Practice addresses (Care Compare)

21323 S Ellsworth Loop Rd
Suite 101
Queen Creek, AZ 85142-9865
Phone (480) 307-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8480AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Medical Group LLC Chiropractor CurrentSince Feb 27, 2019 Accepting new patients

Locations

1450 W Guadalupe Rd
Ste 120
Gilbert, AZ 85233
Phone 4809267800106

21323 S Ellsworth Loop Rd
Ste 101
Queen Creek, AZ 85142
Phone (480) 307-8440

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1225410467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD",
            "address_2": "#120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333042",
            "telephone_number": "480-926-7800",
            "fax_number": "480-926-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21323 S ELLSWORTH LOOP RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429865",
            "telephone_number": "480-307-8440",
            "fax_number": "480-307-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "ORLANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.