Individual provider Active NPI

Curtis Masato Sahara, DC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1528076908
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7345 Issued in AZ
Practice address
17035 N 67TH Ave
Suite 3
Glendale, AZ 85308-4511
Phone
(623) 337-4630
Fax
(623) 337-4631
NPI assigned
Aug 3, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7345 AZ Primary
Acupuncturist 171100000X 450 AZ

Addresses

Primary practice location

17035 N 67TH Ave
Suite 3
Glendale, AZ 85308-4511

Mailing address

17035 N 67TH Ave
Suite 3
Glendale, AZ 85308-4511
Phone (623) 337-4630

Other identifiers 2

IdentifierTypeStateIssuer
7089707OtherAZAETNA/LANDMARK
AZ0945430OtherAZBLUE CROSS BLUE SHIELD

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
450AZMDAcupuncturist
7345AZMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1528076908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17035 N 67TH AVE",
            "address_2": "SUITE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084511",
            "telephone_number": "623-337-4630",
            "fax_number": "623-337-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17035 N 67TH AVE",
            "address_2": "SUITE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084511",
            "telephone_number": "623-337-4630",
            "fax_number": "623-337-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHARA",
        "first_name": "CURTIS",
        "middle_name": "MASATO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7345",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/LANDMARK",
            "identifier": "7089707",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0945430",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.