Individual provider Active NPI

Daniel Alan Lipman, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1548323876
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27121 Issued in CA
Practice address
14640N Tatum Blvd 7
Phoenix, AZ 85032-4824
Phone
(602) 867-1444
Fax
(602) 867-7800
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27121 CA Primary

Addresses

Primary practice location

14640N Tatum Blvd 7
Phoenix, AZ 85032-4824

Mailing address

14640N Tatum Blvd 7
Phoenix, AZ 85032-4824
Phone (602) 867-1444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000173 AZ Practitioner - Chiropractic 5991978652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16421 N Tatum Blvd
Suite 110
Phoenix, AZ 85032-3455
Phone (602) 867-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27121CAMDChiropractor
7948AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Konodont Chiropractor CurrentSince Jan 30, 2016 Accepting new patients

Locations

16421 N Tatum Blvd
Ste 110
Phoenix, AZ 85032
Phone (602) 867-1444

14640 N Tatum Blvd
Ste 7
Phoenix, AZ 85032
Phone (602) 867-1444

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1548323876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640N TATUM BLVD 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324824",
            "telephone_number": "602-867-1444",
            "fax_number": "602-867-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640N TATUM BLVD 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324824",
            "telephone_number": "602-867-1444",
            "fax_number": "602-867-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPMAN",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.