Organization Active NPI

Stein Chiropractic LLC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1619192275
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7206 Issued in AZ
Legal business name
STEIN CHIROPRACTIC LLC
Practice address
19420 N 59TH Ave
Ste H810
Glendale, AZ 85308-6894
Phone
(623) 215-3791
NPI assigned
Apr 17, 2007
Last updated
May 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Torsten Rolf Stein, D.C.NPI 1265430987
Title
Owner
Phone
(623) 521-3981

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7206 AZ Primary

Addresses

Primary practice location

19420 N 59TH Ave
Ste H810
Glendale, AZ 85308-6894

Mailing address

19420 N 59TH Ave
Ste H810
Glendale, AZ 85308-6894
Phone (623) 215-3791

Other identifiers 2

IdentifierTypeStateIssuer
AZ0196170OtherAZBLUE CROSS BLUE SHIELD
P00293282OtherAZRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060104001013 AZ Part B Supplier - Clinic/Group Practice 0547283533 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

19420 N 59th Ave
Ste H810
Glendale, AZ 85308
Phone (623) 215-3791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1619192275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE",
            "address_2": "STE H810",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086894",
            "telephone_number": "623-215-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE",
            "address_2": "STE H810",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086894",
            "telephone_number": "623-215-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "TORSTEN",
        "authorized_official_middle_name": "ROLF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-521-3981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0196170",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00293282",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.