Active NPI
Jason Ross Kaufman, D.C.
- Chiropractor
- Scottsdale, AZ
National Provider Identifier
1376599589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7793
- Practice address
- 9755 N 90TH St
Suite A200
Scottsdale, AZ 85258-5046 - Phone
- (480) 621-2213
- Fax
- (480) 621-3314
- NPI assigned
- May 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008710 | PA | |
| Chiropractor | 111N00000X | 7793 | AZ | Primary |
Addresses
Primary practice location
9755 N 90TH St
Suite A200
Scottsdale, AZ 85258-5046
Mailing address
9755 N 90TH St
Suite A200
Scottsdale, AZ 85258-5046
Phone (480) 621-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070514000501 | AZ | Practitioner - Chiropractic | 4880791573 | Practice locations: Scottsdale, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7793 | AZ | MD | Chiropractor |
| DC008710 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Neurology PLLC | Past | Accepting new patients | |
| Scottsdale Neurology 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Scottsdale, AZ
- NPI 1891851689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376599589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 N 90TH ST",
"address_2": "SUITE A200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585046",
"telephone_number": "480-621-2213",
"fax_number": "480-621-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 N 90TH ST",
"address_2": "SUITE A200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585046",
"telephone_number": "480-621-2213",
"fax_number": "480-621-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "JASON",
"middle_name": "ROSS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008710",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7793",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.