Active NPI
Sam Pourian, DC
- Chiropractor
- Mesa, AZ
National Provider Identifier
1619508157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8885
- Practice address
- 1059 E Broadway Rd
Mesa, AZ 85204-2153 - Phone
- (480) 833-8003
- Fax
- (480) 962-6384
- NPI assigned
- Feb 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 8885 | AZ | Primary |
Addresses
Primary practice location
1059 E Broadway Rd
Mesa, AZ 85204-2153
Mailing address
PO Box 903
Scottsdale, AZ 85252-0903
Phone (480) 203-9649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1059 E Broadway Rd
Mesa, AZ 85204-2153
Phone (480) 833-8003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa Family Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
1059 E Broadway Rd
Mesa, AZ 85204
Phone (480) 833-8003
Organizations & group practices 2
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.
-
- Chiropractor
- Mesa, AZ
- NPI 1588307037
-
- Chiropractor
- Flagstaff, AZ
- NPI 1114947090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1619508157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 903",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852520903",
"telephone_number": "480-203-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1059 E BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852042153",
"telephone_number": "480-833-8003",
"fax_number": "480-962-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURIAN",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-03",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "8885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.