Individual provider Active NPI

Laurie Leigh Dodie-Swoverland, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1245296193
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ3966 Issued in AZ
Practice address
3920 E Indian School Rd
Suite 16
Phoenix, AZ 85018-5257
Phone
(602) 956-3360
Fax
(602) 977-1357
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AZ3966 AZ Primary

Addresses

Primary practice location

3920 E Indian School Rd
Suite 16
Phoenix, AZ 85018-5257

Mailing address

3920 E Indian School Rd
Suite 16
Phoenix, AZ 85018-5257
Phone (602) 956-3360

Other identifiers 2

IdentifierTypeStateIssuer
623158OtherAZACN GROUP
AZ0245620OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000340 AZ Practitioner - Chiropractic 3274525472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dodie Chiropractic IncGroup PAC ID 0143545590, 2 clinicians

Practice addresses (Care Compare)

3920 E Indian School Rd
Suite 16
Phoenix, AZ 85018-5257
Phone (602) 956-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3966AZMDPsychologist
AZ3966AZMDChiropractor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1245296193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E INDIAN SCHOOL RD",
            "address_2": "SUITE 16",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185257",
            "telephone_number": "602-956-3360",
            "fax_number": "602-977-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E INDIAN SCHOOL RD",
            "address_2": "SUITE 16",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185257",
            "telephone_number": "602-956-3360",
            "fax_number": "602-977-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODIE-SWOVERLAND",
        "first_name": "LAURIE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ3966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "623158",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0245620",
            "state": "AZ"
        }
    ],
    "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 Nov 10, 2014; 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.