Az Regenerative Medicne

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AZ REGENERATIVE MEDICNE

Practice address

16620 N 40TH St Ste G2
Phoenix, AZ 85032-3351

Phone

(602) 992-2656

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Ward Frost, DCNPI 1215081120

Title

Owner

Phone

(602) 992-2656

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Jeffrey Ward Frost, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1215081120
  Medicare reassignment NPD Authorized official
• Dana Lynn Cook, NP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1770049173
  Medicare reassignment NPD
• Shaun Hampton, N.P.

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1093261497
  NPD
• Hetter Elizabeth Fuller, FNP

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1386278554
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1609408194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE G2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323351",
            "telephone_number": "602-992-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE G2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323351",
            "telephone_number": "602-992-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ REGENERATIVE MEDICNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-992-2656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Premier Mobile Providers
• Az Pro Billing LLC
• Az Psychiatric Associates, PLLC
• Az Quality Nursing
• Az Quality Nursing
• Az Rehab LLC
• Az Safe Hands LLC
• Az SDS II LLC
• Az SDS II LLC
• Az SDS II LLC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.