Individual provider Active NPI

Michael Craig Staub, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1346208360
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ5711 Issued in AZ
Practice address
10752 N 89TH PL Ste a-101
Scottsdale, AZ 85260-6730
Phone
(602) 565-0825
Fax
(480) 941-2825
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 5711 AZ
Chiropractor 111N00000X AZ5711 AZ Primary

Addresses

Primary practice location

10752 N 89TH PL Ste a-101
Scottsdale, AZ 85260-6730

Mailing address

10752 N 89TH PL Ste a-101
Scottsdale, AZ 85260-6730
Phone (602) 565-0825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000046 AZ Practitioner - Chiropractic 1850318486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Michael C Staub, PLCGroup PAC ID 0840357125, 2 clinicians

Practice addresses (Care Compare)

10752 N 89TH PL
A 101
Scottsdale, AZ 85260-6730
Phone (602) 565-0825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ5711AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael C Staub, PLC Chiropractor CurrentSince Nov 14, 2008 Accepting new patients
Hudson Chiropractic Corporation Chiropractor PastSince Jan 5, 2000 Accepting new patients

Locations

7701 E Indian School Rd
Ste H
Scottsdale, AZ 85251
Phone (480) 990-2663

10752 N 89th Pl
Ste A101
Scottsdale, AZ 85260
Phone (480) 990-2663

5410 N Scottsdale Rd
Ste A200
Scottsdale, AZ 85253
Phone (480) 848-2757

10752 N 89th Pl
#A101
Scottsdale, AZ 85260
Phone (480) 990-2663

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1346208360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE A-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "602-565-0825",
            "fax_number": "480-941-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE A-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "602-565-0825",
            "fax_number": "480-941-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5711",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ5711",
            "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 Apr 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.