Individual provider Active NPI

Mitchell Gerard Fassaert, DC

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1255986931
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8827 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20191016000051 AZ Practitioner - Chiropractic 9335470772 Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8827AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Free Chiropratic PLLC Chiropractor Current Accepting new patients
Total Health Chiropractic, P.C. Chiropractor PastSince Aug 1, 2019 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.

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.

Verify at the official NPI Registry.