Individual provider Active NPI

Michael Joseph Stone, DC,DABCI

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1306060314
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4880 Issued in AZ
Practice address
9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749-8173
Phone
(520) 749-2929
Fax
(520) 749-8391
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4880 AZ Primary

Addresses

Primary practice location

9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749-8173

Mailing address

9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749-8173
Phone (520) 749-2929

Other identifiers 1

IdentifierTypeStateIssuer
AZ0241060OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000232 AZ Practitioner - Chiropractic 4385662584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9100 E Tanque Verde Rd
Tucson, AZ 85749-8173
Phone (520) 749-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4880AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tanque Verde Chiropractic Clinic P.C. Chiropractor CurrentSince Aug 1, 2012 Accepting new patients

Locations

9100 E Tanque Verde Rd
Tucson, AZ 85749
Phone (520) 749-2929

9100 E Tanque Verde Rd
Ste 140
Tucson, AZ 85749
Phone (520) 749-2929

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1306060314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 E TANQUE VERDE RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498173",
            "telephone_number": "520-749-2929",
            "fax_number": "520-749-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 E TANQUE VERDE RD",
            "address_2": "STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498173",
            "telephone_number": "520-749-2929",
            "fax_number": "520-749-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC,DABCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0241060",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.