Individual provider Active NPI

Wayne A. Harmon, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1609945682
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 5922 & PT 3528 Issued in AZ
Practice address
4432 N Miller Rd
Suite 102
Scottsdale, AZ 85251-3697
Phone
(480) 945-0008
Fax
(480) 945-2778
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 5922 & PT 3528 AZ Primary

Addresses

Primary practice location

4432 N Miller Rd
Suite 102
Scottsdale, AZ 85251-3697

Mailing address

7343 E Camelback Rd
Suite B
Scottsdale, AZ 85251-3442
Phone (480) 306-7227

Other identifiers 1

IdentifierTypeStateIssuer
AZ0931520OtherAZBCBS OF AZ ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 5922 & PT 3528AZMDChiropractor
5922AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Fitness Chiropractic LLC PastSince Jan 1, 1990 Accepting new patients

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1609945682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 E CAMELBACK RD",
            "address_2": "SUITE B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513442",
            "telephone_number": "480-306-7227",
            "fax_number": "480-306-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 N MILLER RD",
            "address_2": "SUITE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513697",
            "telephone_number": "480-945-0008",
            "fax_number": "480-945-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "WAYNE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC 5922 & PT 3528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ ID NUMBER",
            "identifier": "AZ0931520",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.