Individual provider Active NPI

Oryan Salberg, D.C.

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1346304821
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5956 Issued in AZ
Practice address
202 N Granite St
Suite 210
Prescott, AZ 86301-3026
Phone
(928) 445-2004
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5956 AZ Primary
Rehabilitation Chiropractor 111NR0400X 3566 AZ

Addresses

Primary practice location

202 N Granite St
Suite 210
Prescott, AZ 86301-3026

Mailing address

202 N Granite St
Suite 210
Prescott, AZ 86301-3026
Phone (928) 445-2004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000275 AZ Practitioner - Chiropractic 3779482500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 N Granite St
Prescott, AZ 86301-3026
Phone (928) 445-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3566AZMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Salberg Family Chiropractic PLLC Rehabilitation CurrentSince Sep 3, 2011 Accepting new patients
Reach Chiropractic Life Center PC Chiropractor Past Accepting new patients
Morris Family Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

202 N Granite St
Ste 210
Prescott, AZ 86301
Phone (928) 445-2004

847 Valley St
Prescott, AZ 86305
Phone (602) 778-7903

Organizations & group practices 3

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1346304821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N GRANITE ST",
            "address_2": "SUITE 210",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013026",
            "telephone_number": "928-445-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N GRANITE ST",
            "address_2": "SUITE 210",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013026",
            "telephone_number": "928-445-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALBERG",
        "first_name": "ORYAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5956",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "3566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.