Individual provider Active NPI

Timothy Allen Hirst, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1518092360
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7699 Issued in AZ
Practice address
3570 S Val Vista Dr Ste 110
Gilbert, AZ 85297-7327
Phone
(480) 899-9923
Fax
(480) 899-0196
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7699 AZ Primary
Rehabilitation Chiropractor 111NR0400X 4391 AZ

Addresses

Primary practice location

3570 S Val Vista Dr Ste 110
Gilbert, AZ 85297-7327

Mailing address

3570 S Val Vista Dr Ste 110
Gilbert, AZ 85297-7327
Phone (480) 899-9923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512002448 AZ Practitioner - Chiropractic 1153751276 Practice locations: Gilbert, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3570 S Val Vista Dr
Suite 110
Gilbert, AZ 85297-7327
Phone (480) 899-9923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7699AZMDChiropractor
4391AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine of Arizona, LLC Current Accepting new patients
Neuragenex LLC PastSince Sep 5, 2019 Accepting new patients
Az Chiropractic and Physical Medicine LLC Chiropractor PastSince Dec 21, 2022 Accepting new patients

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1518092360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 S VAL VISTA DR STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-899-9923",
            "fax_number": "480-899-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 S VAL VISTA DR STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977327",
            "telephone_number": "480-899-9923",
            "fax_number": "480-899-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRST",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7699",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.