Organization Active NPI

Gonstead Performance Chiropractic

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1396941704
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7572 Issued in AZ
Legal business name
GONSTEAD PERFORMANCE CHIROPRACTIC
Practice address
8457 E McDonald Dr
Scottsdale, AZ 85250-6334
Phone
(480) 751-6199
Fax
(480) 751-6197
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Laurie Michelle Trapp, D.C.NPI 1396966164
Title
Owner
Phone
(623) 810-4020

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7572 AZ Primary

Addresses

Primary practice location

8457 E McDonald Dr
Scottsdale, AZ 85250-6334

Mailing address

8457 E McDonald Dr
Scottsdale, AZ 85250-6334
Phone (480) 751-6199

Other identifiers 1

IdentifierTypeStateIssuer
Z103971OtherAZMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000513 AZ Part B Supplier - Clinic/Group Practice 0840227153 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1396941704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8457 E MCDONALD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506334",
            "telephone_number": "480-751-6199",
            "fax_number": "480-751-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8457 E MCDONALD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506334",
            "telephone_number": "480-751-6199",
            "fax_number": "480-751-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-810-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z103971",
            "state": "AZ"
        }
    ],
    "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 Aug 4, 2015; 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.