Individual provider Active NPI

Christopher L Bonin, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1326066978
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7432 Issued in AZ
Practice address
4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042
Phone
(602) 603-1490
NPI assigned
Jul 18, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7432 AZ Primary
Rehabilitation Practitioner 225400000X 4118 AZ

Addresses

Primary practice location

4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042

Mailing address

4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042
Phone (602) 603-1490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000243 AZ Practitioner - Chiropractic 5395739007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4530 E Shea Blvd
Phoenix, AZ 85028-6065
Phone (480) 365-8232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7432AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Chiropractic Chiropractor CurrentSince Jul 13, 2022 Accepting new patients
Total Lifestyle Chiropractic PLLC Chiropractor CurrentSince Jan 13, 2009 Accepting new patients
Tiffany Lynn Naughton Chiropractor Past Accepting new patients
Bell Road Chiropractic and Wellness, LLC Chiropractor Past Accepting new patients

Locations

4530 E Shea Blvd
Phoenix, AZ 85028
Phone (480) 365-8232

4530 E Shea Blvd
Ste 165
Phoenix, AZ 85028
Phone (602) 274-7572

7032 E Cochise Rd
Ste A130
Scottsdale, AZ 85253
Phone (480) 368-2639

Organizations & group practices 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1326066978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-603-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "602-603-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7432",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "AZ",
            "license": "4118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.