Individual provider Active NPI

Shari Ruth Webster, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1235277443
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6085 Issued in AZ
Practice address
16515 S 40TH St
#139
Phoenix, AZ 85048-0558
Phone
(480) 785-1351
Fax
(480) 785-1647
NPI assigned
Feb 1, 2007
Last updated
May 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6085 AZ Primary

Addresses

Primary practice location

16515 S 40TH St
#139
Phoenix, AZ 85048-0558

Mailing address

16515 S 40TH St
Ste 103
Phoenix, AZ 85048-0559
Phone (480) 785-1351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000327 AZ Practitioner - Chiropractic 6709900418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16515 S 40TH St
Suite 103
Phoenix, AZ 85048-0559
Phone (480) 785-1351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Family Chiropractic, LTD. Chiropractor CurrentSince Aug 2, 2010 Accepting new patients
Kenneth L Pettit DO LLC Chiropractor PastSince Sep 13, 2020 Accepting new patients

Locations

16515 S 40th St
Ste 103
Phoenix, AZ 85048
Phone (480) 275-5708

16515 S 40th St
Ste 139
Phoenix, AZ 85048
Phone (480) 706-0174

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, 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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1235277443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST",
            "address_2": "STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-785-1351",
            "fax_number": "480-785-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST",
            "address_2": "#139",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480558",
            "telephone_number": "480-785-1351",
            "fax_number": "480-785-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "SHARI",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6085",
            "primary": true
        }
    ],
    "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 May 1, 2020; 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.