Organization Active NPI

Pivonka Chiropractic, P.C.

  • Chiropractor
  • Higley, AZ
National Provider Identifier
1467653576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5506 Issued in AZ
Legal business name
PIVONKA CHIROPRACTIC, P.C.
Practice address
1355 S Higley Rd Ste 102
Higley, AZ 85236-4705
Phone
(480) 892-0022
Fax
(480) 892-5509
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony James Pivonka, DCNPI 1376587048
Title
President Treasurer
Phone
(480) 892-0022

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5506 AZ Primary

Addresses

Primary practice location

1355 S Higley Rd Ste 102
Higley, AZ 85236-4705

Mailing address

1355 S Higley Rd Ste 102
Higley, AZ 85236-4705
Phone (480) 892-0022

Other names 1

  • Pivonka Family Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

1355 S Higley Rd
Ste 102
Gilbert, AZ 85296
Phone (480) 892-0022

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467653576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD STE 102",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852364705",
            "telephone_number": "480-892-0022",
            "fax_number": "480-892-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD STE 102",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852364705",
            "telephone_number": "480-892-0022",
            "fax_number": "480-892-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVONKA CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIVONKA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT TREASURER",
        "authorized_official_telephone_number": "480-892-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivonka Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Higley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.