Active NPI
James A Skabo, D.C.
- Chiropractor
- Goodyear, AZ
National Provider Identifier
1417048091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7049
- Practice address
- 1650 N Dysart Rd
Suite # 1
Goodyear, AZ 85338-1116 - Phone
- (623) 925-9045
- Fax
- (623) 925-9047
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7049 | AZ | Primary |
Addresses
Primary practice location
1650 N Dysart Rd
Suite # 1
Goodyear, AZ 85338-1116
Mailing address
1650 N Dysart Rd
Suite # 1
Goodyear, AZ 85338-1116
Phone (623) 925-9045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134241398 | Other | COMMERCIAL CARRIERS | |
| AZ0939210 | Other | AZ | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1650 N Dysart Rd
Suite 1
Goodyear, AZ 85395-1116
Phone (623) 925-9045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417048091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 N DYSART RD",
"address_2": "SUITE # 1",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381116",
"telephone_number": "623-925-9045",
"fax_number": "623-925-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 N DYSART RD",
"address_2": "SUITE # 1",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381116",
"telephone_number": "623-925-9045",
"fax_number": "623-925-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKABO",
"first_name": "JAMES",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL CARRIERS",
"identifier": "134241398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "AZ0939210",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
- Ish Kumar Singla, MD
- Sisters Helping Hands Family Care, LLC (Sisters Helping Hands Family Care)
- Ryan Michael Sitter, PHARMD
- Ska-Shifra LLC
- Skabo Inc (Copper Canyon Chiropractic)
- Brandi A Skipper
- Gabriela Skoczylas, OTR/L
- Laura Mae Slatalla, RD
- Sleep Care Respiratory Services, Inc.
- Smart Pediatric Therapy, LLC
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.