Individual provider Active NPI

Scott Hatzenbeler, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1427070473
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7496 Issued in AZ
Practice address
4365 E Pecos Rd
Ste. 129
Gilbert, AZ 85295-7875
Phone
(480) 633-0237
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7496 AZ Primary

Addresses

Primary practice location

4365 E Pecos Rd
Ste. 129
Gilbert, AZ 85295-7875

Mailing address

4365 E Pecos Rd
Ste. 129
Gilbert, AZ 85295-7875
Phone (480) 633-0237

Other identifiers 1

IdentifierTypeStateIssuer
0443090OtherAZBC/BS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070405000035 AZ Practitioner - Chiropractic 8628033842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Medicine LLCGroup PAC ID 5991942658, 3 clinicians

Practice addresses (Care Compare)

4365 E Pecos Rd
Suite 129
Gilbert, AZ 85295-8052
Phone (480) 632-0177

4365 E Pecos Rd
Suite 129
Gilbert, AZ 85297-8052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4057COMDClinical Psychologist
7496AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Medicine LLC CurrentSince Jan 4, 2013 Accepting new patients

Locations

4365 E Pecos Rd
Ste 12
Gilbert, AZ 85295
Phone (480) 632-0177

4365 E Pecos Rd
Ste 129
Gilbert, AZ 85295
Phone (480) 632-0177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1427070473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD",
            "address_2": "STE. 129",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957875",
            "telephone_number": "480-633-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD",
            "address_2": "STE. 129",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957875",
            "telephone_number": "480-633-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZENBELER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "0443090",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.

Verify at the official NPI Registry.