Organization Active NPI

Dr. Michael C Staub, PLC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1548409121
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5711 Issued in AZ
Legal business name
DR. MICHAEL C STAUB, PLC
Practice address
10752 N 89TH PL # a-101
Scottsdale, AZ 85260-6730
Phone
(602) 565-0825
Fax
(480) 941-2835
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Michael C StaubNPI 1346208360
Title
President/Ower
Phone
(480) 990-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5711 AZ Primary

Addresses

Primary practice location

10752 N 89TH PL # a-101
Scottsdale, AZ 85260-6730

Mailing address

7701 E Indian School Rd Ste H
Scottsdale, AZ 85251-4041
Phone (480) 990-2663

Other names 1

  • Bone and Joint Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090401000323 AZ Part B Supplier - Clinic/Group Practice 0840357125 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

10752 N 89th Pl
Ste A101
Scottsdale, AZ 85260
Phone (480) 990-2663

10752 N 89th Pl
#A101
Scottsdale, AZ 85260
Phone (480) 990-2663

7701 E Indian School Rd
Ste H
Scottsdale, AZ 85251
Phone (480) 990-2663

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1548409121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 E INDIAN SCHOOL RD STE H",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514041",
            "telephone_number": "480-990-2663",
            "fax_number": "480-941-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL # A-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606730",
            "telephone_number": "602-565-0825",
            "fax_number": "480-941-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL C STAUB, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "STAUB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWER",
        "authorized_official_telephone_number": "480-990-2663"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bone and Joint Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bone and Joint Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.