Individual provider Active NPI

Anthony James Pivonka, D.C.

  • Chiropractor
  • Higley, AZ
National Provider Identifier
1376587048
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5506 Issued in AZ
Practice address
1355 S. Higley Road
Ste 102
Higley, AZ 85236-4705
Phone
(480) 892-0022
Fax
(480) 892-5509
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5506 AZ Primary
Chiropractor 111N00000X 3889 CO

Addresses

Primary practice location

1355 S. Higley Road
Ste 102
Higley, AZ 85236-4705

Mailing address

1355 S. Higley Road
Ste 102
Higley, AZ 85236-4705
Phone (480) 892-0022

Other identifiers 1

IdentifierTypeStateIssuer
AZ0933370OtherAZBLUE CROSS BLUE SHIELD AZ

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

LicenseStateTypeSpecialty
5506AZMDChiropractor
3889COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DM&a Holdings LLC Chiropractor CurrentSince May 12, 2024 Accepting new patients
Higley Park Integrated Health Group LLC Past Accepting new patients

Locations

1355 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 892-0022

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376587048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S. HIGLEY ROAD",
            "address_2": "STE 102",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852364705",
            "telephone_number": "480-892-0022",
            "fax_number": "480-892-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S. HIGLEY ROAD",
            "address_2": "STE 102",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852364705",
            "telephone_number": "480-892-0022",
            "fax_number": "480-892-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVONKA",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5506",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0933370",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Higley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.