Individual provider Active NPI

Jesse Alexander Fox, DC

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1265936140
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8676 Issued in AZ
Practice address
930 W Broadway Rd Ste 7
Tempe, AZ 85282-1269
Phone
(480) 829-9593
Fax
(403) 653-0004
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8676 AZ Primary

Addresses

Primary practice location

930 W Broadway Rd Ste 7
Tempe, AZ 85282-1269

Mailing address

930 W Broadway Rd Ste 7
Tempe, AZ 85282-1269
Phone (480) 829-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8676AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaks Chiropractic LLC Chiropractor PastSince Jul 24, 2022 Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients
Four Peaks Chiropractic Chiropractor Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1265936140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W BROADWAY RD STE 7",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821269",
            "telephone_number": "480-829-9593",
            "fax_number": "403-653-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W BROADWAY RD STE 7",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821269",
            "telephone_number": "480-829-9593",
            "fax_number": "403-653-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JESSE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8676",
            "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 Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.