Organization Active NPI

Regent Healthcare of Scottsdale

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1619077435
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7589 Issued in AZ
Legal business name
REGENT HEALTHCARE OF SCOTTSDALE
Practice address
4110 N Scottsdale Rd Ste 315
Scottsdale, AZ 85251-3999
Phone
(480) 609-4244
Fax
(480) 609-4382
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Shawn Michael Meyer, DC, CCNNPI 1619932431
Title
President, Physician
Phone
(480) 609-4244

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7589 AZ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4276 AZ

Addresses

Primary practice location

4110 N Scottsdale Rd Ste 315
Scottsdale, AZ 85251-3999

Mailing address

4110 N Scottsdale Rd Ste 315
Scottsdale, AZ 85251-3999
Phone (480) 609-4244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051010000774 AZ Part B Supplier - Clinic/Group Practice 9739104696 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

4200 S Alma School Rd
Chandler, AZ 85248
Phone (480) 234-9436

4110 N Scottsdale Rd
Ste 215
Scottsdale, AZ 85251
Phone (480) 609-4244

4110 N Scottsdale Rd
Ste 315
Scottsdale, AZ 85251
Phone (480) 609-4244

Practitioners & affiliated clinicians

Practitioners 4

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1619077435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 N SCOTTSDALE RD STE 315",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513999",
            "telephone_number": "480-609-4244",
            "fax_number": "480-609-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N SCOTTSDALE RD STE 315",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513999",
            "telephone_number": "480-609-4244",
            "fax_number": "480-609-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT HEALTHCARE OF SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "480-609-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7589",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4276",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 5, 2008; 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.