Active NPI
Custom Chiropractic Rehabilitation
- Chiropractor
- Chandler, AZ
National Provider Identifier
1447655501
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
- 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
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 DirectoryNPI 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.