Individual provider Active NPI

Brock Preston Auten, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1629356472
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8220 Issued in AZ
Practice address
20459 N 89TH St
Scottsdale, AZ 85255-9170
Phone
(602) 920-6206
NPI assigned
Jul 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8220 AZ Primary

Addresses

Primary practice location

20459 N 89TH St
Scottsdale, AZ 85255-9170

Mailing address

20459 N 89TH St
Scottsdale, AZ 85255-9170
Phone (602) 920-6206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000364 AZ Practitioner - Chiropractic 0446402440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Institute of Arizona PCGroup PAC ID 8921090184, 11 clinicians

Practice addresses (Care Compare)

9735 N 90TH PL
Scottsdale, AZ 85258-5067
Phone (602) 953-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8220AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute of Arizona PC CurrentSince Nov 25, 2012 Accepting new patients

Locations

9735 N 90th Pl
Scottsdale, AZ 85258
Phone (480) 222-4954

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1629356472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20459 N 89TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559170",
            "telephone_number": "602-920-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20459 N 89TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559170",
            "telephone_number": "602-920-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTEN",
        "first_name": "BROCK",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8220",
            "primary": true
        }
    ],
    "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 Jul 27, 2011; 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.

Verify at the official NPI Registry.