Individual provider Active NPI

Jason Ross Kaufman, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1376599589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7793 Issued in AZ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 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 IDStateProvider typePAC IDDetails
I20070514000501 AZ Practitioner - Chiropractic 4880791573 Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7793AZMDChiropractor
DC008710PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Neurology PLLC PastSince Jan 1, 2007 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.

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.

Verify at the official NPI Registry.