Individual provider Active NPI

Robert William Sazama, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1447407119
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8395 Issued in AZ
Practice address
613 S Mesa Dr
Mesa, AZ 85210-2543
Phone
(480) 644-1227
Fax
(480) 644-7737
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8395 AZ Primary

Addresses

Primary practice location

613 S Mesa Dr
Mesa, AZ 85210-2543

Mailing address

613 S Mesa Dr
Mesa, AZ 85210-2543
Phone (480) 644-1227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822000134 AZ Practitioner - Chiropractic 1759459274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

613 S Mesa Dr
Mesa, AZ 85210-2543
Phone (480) 644-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8395AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Chiropractic Rehab and Wellness LLC Chiropractor CurrentSince Jul 1, 2014 Accepting new patients
Mesa Chiropractic and Rehabilitation Center P C Chiropractor PastSince Jul 1, 2014 Accepting new patients
Dietrich Chiropractic, SC Chiropractor PastSince Dec 1, 2004 Accepting new patients
Chiro One Wellness Center of Oswego LLC Chiropractor Past Accepting new patients

Locations

613 S Mesa Dr
Mesa, AZ 85210
Phone (480) 644-1227

Organizations & group practices 4

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1447407119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102543",
            "telephone_number": "480-644-1227",
            "fax_number": "480-644-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102543",
            "telephone_number": "480-644-1227",
            "fax_number": "480-644-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAZAMA",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8395",
            "primary": true
        }
    ],
    "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 Aug 29, 2014; 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.