Individual provider Active NPI

Frank Harrison Mazziotti Sr., DC

  • Chiropractor
  • Wickenburg, AZ
National Provider Identifier
1467643676
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3735 Issued in AZ
Practice address
130 North Washington Rd
Wickenburg, AZ 85390-2263
Phone
(928) 684-7733
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3735 AZ Primary

Addresses

Primary practice location

130 North Washington Rd
Wickenburg, AZ 85390-2263

Mailing address

130 North Washington Rd
Wickenburg, AZ 85390-2263
Phone (928) 684-7733

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
3735AZMDHand Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1467643676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NORTH WASHINGTON RD",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902263",
            "telephone_number": "928-684-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NORTH WASHINGTON RD",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902263",
            "telephone_number": "928-684-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZIOTTI",
        "first_name": "FRANK",
        "middle_name": "HARRISON",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.