Individual provider Active NPI

Jonathon Paul Sprintz, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1477537900
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7453 Issued in AZ
Practice address
2665 E Broadway Rd
B112
Mesa, AZ 85204-1572
Phone
(480) 610-5433
Fax
(480) 610-5434
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 7453 AZ Primary

Addresses

Primary practice location

2665 E Broadway Rd
B112
Mesa, AZ 85204-1572

Mailing address

2665 E Broadway Rd
B112
Mesa, AZ 85204-1572
Phone (480) 610-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000822 AZ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2961493952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2665 E Broadway Rd
Suite B112
Mesa, AZ 85204-1572
Phone (480) 610-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7453AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health for Life Chiropractic and Chiropractor CurrentSince Jul 10, 2007 Accepting new patients
Core Chiropractic LLC Chiropractor CurrentSince Sep 14, 2015 Accepting new patients
Desert Sky Chiropractic Past Accepting new patients

Locations

2665 E Broadway Rd
Ste B112
Mesa, AZ 85204
Phone (480) 221-3603

2665 E Broadway Rd
#B112
Mesa, AZ 85204
Phone (480) 610-5433

Organizations & group practices 3

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1477537900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 E BROADWAY RD",
            "address_2": "B112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041572",
            "telephone_number": "480-610-5433",
            "fax_number": "480-610-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 E BROADWAY RD",
            "address_2": "B112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041572",
            "telephone_number": "480-610-5433",
            "fax_number": "480-610-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINTZ",
        "first_name": "JONATHON",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.