Active NPI
Ammon Allen Opie, DC
- Chiropractor
- Mesa, AZ
National Provider Identifier
1437712528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8802
- Practice address
- 110 S Mesa Dr Ste 4
Mesa, AZ 85210-1458 - Phone
- (480) 833-8863
- Fax
- (480) 464-5516
- NPI assigned
- Apr 15, 2019
- Last updated
- Apr 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8802 | AZ | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 5373 | AZ |
Addresses
Primary practice location
110 S Mesa Dr Ste 4
Mesa, AZ 85210-1458
Mailing address
110 S Mesa Dr Ste 4
Mesa, AZ 85210-1458
Phone (480) 833-8863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 S Mesa Dr
Suite 4
Mesa, AZ 85210-1458
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8802 | AZ | MD | Chiropractor |
| 5373 | AZ | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1437712528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S MESA DR STE 4",
"city": "MESA",
"state": "AZ",
"postal_code": "852101458",
"telephone_number": "480-833-8863",
"fax_number": "480-464-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S MESA DR STE 4",
"city": "MESA",
"state": "AZ",
"postal_code": "852101458",
"telephone_number": "480-833-8863",
"fax_number": "480-464-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPIE",
"first_name": "AMMON",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8802",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "5373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.