Active NPI
Mitchell Gerard Fassaert, DC
- Chiropractor
- Tempe, AZ
National Provider Identifier
1255986931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8827
- Practice address
- 1050 E Southern Ave Ste 3
Tempe, AZ 85282-5483 - Phone
- (602) 529-4383
- Fax
- (602) 532-7443
- NPI assigned
- Aug 8, 2019
- Last updated
- Apr 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8827 | AZ | Primary |
Addresses
Primary practice location
1050 E Southern Ave Ste 3
Tempe, AZ 85282-5483
Mailing address
1050 E Southern Ave Ste 3
Tempe, AZ 85282-5483
Phone (602) 529-4383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016000051 | AZ | Practitioner - Chiropractic | 9335470772 | Practice locations: Tempe, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8827 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Free Chiropratic PLLC | Chiropractor | Current | Accepting new patients |
| Total Health Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
3220 E Baseline Rd
Ste 112
Phoenix, AZ 85042
Phone (602) 437-2225
1050 E Southern Ave
Ste 3
Tempe, AZ 85282
Phone (602) 529-4383
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.
-
- Chiropractor
- Tempe, AZ
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- Scottsdale, AZ
- NPI 1982877239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1255986931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 E SOUTHERN AVE STE 3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825483",
"telephone_number": "602-529-4383",
"fax_number": "602-532-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E SOUTHERN AVE STE 3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825483",
"telephone_number": "602-529-4383",
"fax_number": "602-532-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSAERT",
"first_name": "MITCHELL",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.