Organization Active NPI

Regenerative Medspa PLLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1386163228
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7669 Issued in AZ
Legal business name
REGENERATIVE MEDSPA PLLC
Practice address
16601 N 40TH St Ste 125
Phoenix, AZ 85032-3355
Phone
(480) 292-1735
Fax
(480) 383-6516
NPI assigned
Sep 12, 2017
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Dr. Robert Ehren Doty, DCNPI 1154433290
Title
Owner
Phone
(480) 292-1735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7669 AZ Primary

Addresses

Primary practice location

16601 N 40TH St Ste 125
Phoenix, AZ 85032-3355

Mailing address

16601 N 40TH St Ste 125
Phoenix, AZ 85032-3355
Phone (480) 292-1735

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1386163228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323355",
            "telephone_number": "480-292-1735",
            "fax_number": "480-383-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323355",
            "telephone_number": "480-292-1735",
            "fax_number": "480-383-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDSPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EHREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-292-1735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.