Organization Active NPI

Custom Chiropractic Rehabilitation

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1447655501
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7711 Issued in AZ
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.