Active NPI
David N. Pessin, D.C.
- Chiropractor
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5740 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrowhead Family Health Center PC | Chiropractor | Current | Accepting new patients |
| Action Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Arrowhead Family Health Center PC | Current | 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
- 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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1932146768
AZ, Chiropractor
-
- Chiropractor
- Phoenix, AZ
- NPI 1497074512
-
- Durable Medical Equipment & Medical Supplies
- Surprise, AZ
- NPI 1992055396
-
- Chiropractor
- Avondale, AZ
- NPI 1659413979
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.