Individual provider Active NPI

David N. Pessin, D.C.

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1609898543
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5740 Issued in AZ
Practice address
17061 N Avenue of the Arts Ste 100
Surprise, AZ 85378-6996
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5740 AZ Primary

Addresses

Primary practice location

17061 N Avenue of the Arts Ste 100
Surprise, AZ 85378-6996

Mailing address

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000642 AZ Practitioner - Chiropractic 5991780181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrowhead Family Health Center PCGroup PAC ID 7113816521, 14 clinicians

Practice addresses (Care Compare)

16390 N 59TH Ave
Suite 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5740AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Family Health Center PC Chiropractor CurrentSince Sep 5, 2017 Accepting new patients
Action Chiropractic LLC Chiropractor Current Accepting new patients
Arrowhead Family Health Center PC CurrentSince Sep 5, 2017 Accepting new patients
Natural Life Centers, LTD. Chiropractor Past Accepting new patients

Locations

16222 N 59th Ave
Ste A100
Glendale, AZ 85306
Phone 62333440007036

16390 N 59th Ave
Ste 200
Glendale, AZ 85306
Phone 62333440007337

3254 E Cactus Rd
Phoenix, AZ 85032
Phone (602) 867-9898

13430 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85254
Phone (833) 500-1753

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

Interoperability endpoints

  • Direct secure messaging: david.pessin@rdhmsc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1609898543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17061 N AVENUE OF THE ARTS STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853786996",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSIN",
        "first_name": "DAVID",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.