Active NPI
Mark Steven Palazzo, DC
- Chiropractor
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5857
- Practice address
- 6622 N 91St Ave Ste 230
Glendale, AZ 85305-2570 - Phone
- (602) 325-2024
- Fax
- (720) 925-5897
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5857 | AZ | Primary |
Addresses
Primary practice location
6622 N 91St Ave Ste 230
Glendale, AZ 85305-2570
Mailing address
5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447088 | Medicaid | AZ | |
| AZ0943260 | Other | AZ | BCBS OF ARIZONA |
| 7887069 | Other | AZ | AETNA |
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
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6622 N 91St Ave
Suite 230
Glendale, AZ 85305-2570
Phone (602) 325-2024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5857 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pain Center | Chiropractor | Current | Accepting new patients |
| Jeffrey R Banas | Chiropractor | Past | Accepting new patients |
| Mountain View Pain Specialists | Past | Accepting new patients |
Locations
6622 N 91st Ave
Ste 230
Glendale, AZ 85305
Phone (602) 325-2024
6622 N 91st Ave
Glendale, AZ 85305
Phone (602) 325-2024
9000 W Thunderbird Rd
Unit 205
Peoria, AZ 85381
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mesa, AZ
- NPI 1073781274
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lone Tree, CO
- NPI 1912403544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1427055367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 DTC PKWY STE 1130",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113038",
"telephone_number": "720-749-5599",
"fax_number": "720-925-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6622 N 91ST AVE STE 230",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052570",
"telephone_number": "602-325-2024",
"fax_number": "720-925-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAZZO",
"first_name": "MARK",
"middle_name": "STEVEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447088",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ARIZONA",
"identifier": "AZ0943260",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7887069",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.