Individual provider Active NPI

Tadashi Matsuhisa, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1457426959
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7599 Issued in AZ
Practice address
2735 W Union Hills Dr
#102
Phoenix, AZ 85027-5033
Phone
(602) 973-1630
Fax
(602) 973-1667
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7599 AZ Primary

Addresses

Primary practice location

2735 W Union Hills Dr
#102
Phoenix, AZ 85027-5033

Mailing address

2735 W Union Hills Dr
#102
Phoenix, AZ 85027-5033
Phone (602) 973-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7599AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gonstead Physical Medicine PC Chiropractor PastSince Feb 15, 2010 Accepting new patients
Align Chiropractic PLLC Chiropractor PastSince Jun 20, 2014 Accepting new patients

Organizations & group practices 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1457426959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 W UNION HILLS DR",
            "address_2": "#102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275033",
            "telephone_number": "602-973-1630",
            "fax_number": "602-973-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 W UNION HILLS DR",
            "address_2": "#102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275033",
            "telephone_number": "602-973-1630",
            "fax_number": "602-973-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUHISA",
        "first_name": "TADASHI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.