Active NPI
Kyle Jon Mroczek, D.C.
- Chiropractor
- Scottsdale, AZ
National Provider Identifier
1306381470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8390
- Practice address
- 15379 N 91St Way
Scottsdale, AZ 85260-2731 - Phone
- (602) 791-4515
- NPI assigned
- Dec 28, 2016
- 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 | 8390 | AZ | Primary |
Addresses
Primary practice location
15379 N 91St Way
Scottsdale, AZ 85260-2731
Mailing address
15379 N 91St Way
Scottsdale, AZ 85260-2731
Phone (602) 791-4515
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8390 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1306381470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15379 N 91ST WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602731",
"telephone_number": "602-791-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15379 N 91ST WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602731",
"telephone_number": "602-791-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROCZEK",
"first_name": "KYLE",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.