Active NPI
Sukkhuan Pisano, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1336408046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7491
- Practice address
- 2735 W Union Hills Dr
Suite 102
Phoenix, AZ 85027-5033 - Phone
- (602) 973-1630
- Fax
- (602) 973-1667
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 7491 | AZ | Primary |
Addresses
Primary practice location
2735 W Union Hills Dr
Suite 102
Phoenix, AZ 85027-5033
Mailing address
48412 N Black Canyon Hwy
#425
New River, AZ 85087-6911
Phone (602) 663-4920
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7491 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gonstead Physical Medicine PC | Chiropractor | Past | Accepting new patients |
| Align Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Surprise, AZ
- NPI 1588969729
-
- Chiropractor
- Phoenix, AZ
- NPI 1316163751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1336408046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48412 N BLACK CANYON HWY",
"address_2": "#425",
"city": "NEW RIVER",
"state": "AZ",
"postal_code": "850876911",
"telephone_number": "602-663-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 W UNION HILLS DR",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275033",
"telephone_number": "602-973-1630",
"fax_number": "602-973-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "SUKKHUAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7491",
"primary": true
}
],
"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 May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.