Individual provider Active NPI

Frank Bly Hatch, D.C.

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1235297144
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5057 Issued in AZ
Practice address
18761 N Reems Rd
Suite 400
Surprise, AZ 85374-8646
Phone
(623) 583-9180
Fax
(623) 583-2871
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5057 AZ Primary

Addresses

Primary practice location

18761 N Reems Rd
Suite 400
Surprise, AZ 85374-8646

Mailing address

18761 N Reems Rd
Suite 400
Surprise, AZ 85374-8646
Phone (623) 583-9180

Other identifiers 2

IdentifierTypeStateIssuer
AZ0932140OtherAZBLUE CROSS BLUE SHIELD
AZ5592OtherAZHEALTHNET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426001077 AZ Practitioner - Chiropractic 6901845312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hassayampa Health Services LLCGroup PAC ID 6406249762, 2 clinicians

Practice addresses (Care Compare)

40 W Yavapai St
Wickenburg, AZ 85390-3201
Phone (928) 684-5756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5057AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hassayampa Health Services LLC CurrentSince Dec 1, 2021 Accepting new patients
White Tank Medical PLLC CurrentSince Mar 1, 2023 Accepting new patients
Cornerstone Medical Center LLC Chiropractor PastSince Oct 29, 2018 Accepting new patients

Locations

18761 N Reems Rd
Ste 400
Surprise, AZ 85374
Phone (623) 583-9180

40 W Yavapai St
Wickenburg, AZ 85390
Phone (928) 684-5756

Interoperability endpoints

  • Direct secure messaging: frank.hatch.1@16554.direct.athenahealth.com

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1235297144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18761 N REEMS RD",
            "address_2": "SUITE 400",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748646",
            "telephone_number": "623-583-9180",
            "fax_number": "623-583-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18761 N REEMS RD",
            "address_2": "SUITE 400",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748646",
            "telephone_number": "623-583-9180",
            "fax_number": "623-583-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "FRANK",
        "middle_name": "BLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0932140",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AZ5592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.