Active NPI
Custom Chiropractic Rehabilitation
- Chiropractor
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7711
- Legal business name
- CUSTOM CHIROPRACTIC REHABILITATION
- Practice address
- 4910 W Ray Rd Ste 2
Chandler, AZ 85226-6221 - Phone
- (480) 855-0557
- Fax
- (480) 855-5937
- NPI assigned
- Oct 30, 2014
- Last updated
- May 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Que Karbassy, DC
- Title
- Officer/Owner/Chiropractor
- Phone
- (480) 855-0557
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7711 | AZ | Primary |
Addresses
Primary practice location
4910 W Ray Rd Ste 2
Chandler, AZ 85226-6221
Mailing address
4910 W Ray Rd Ste 2
Chandler, AZ 85226-6221
Phone (480) 855-0557
National Provider Directory
National Provider DirectoryLocations
4910 W Ray Rd
Ste 2
Chandler, AZ 85226
Phone (480) 252-0216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- Chandler, AZ
- NPI 1396955464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430956800000",
"number": "1447655501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 W RAY RD STE 2",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852266221",
"telephone_number": "480-855-0557",
"fax_number": "480-855-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 W RAY RD STE 2",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852266221",
"telephone_number": "480-855-0557",
"fax_number": "480-855-5937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM CHIROPRACTIC REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2015-05-07",
"status": "A",
"authorized_official_last_name": "KARBASSY",
"authorized_official_first_name": "QUE",
"authorized_official_title_or_position": "OFFICER/OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "480-855-0557",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "7711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.