Individual provider Active NPI

Tina M. Habhab, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1649462870
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7364 Issued in AZ
Practice address
7349 N Via Paseo del Sur
Ste 530
Scottsdale, AZ 85258-3765
Phone
(480) 220-5298
NPI assigned
Aug 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7364 AZ Primary

Addresses

Primary practice location

7349 N Via Paseo del Sur
Ste 530
Scottsdale, AZ 85258-3765

Mailing address

8390 E Via Deventura
Ste F110 #160
Scottsdale, AZ 85258-3189
Phone (480) 220-5298

Other identifiers 1

IdentifierTypeStateIssuer
0402840OtherAZBCBS

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
7364AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1649462870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E VIA DEVENTURA",
            "address_2": "STE F110 #160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583189",
            "telephone_number": "480-220-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 N VIA PASEO DEL SUR",
            "address_2": "STE 530",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583765",
            "telephone_number": "480-220-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABHAB",
        "first_name": "TINA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0402840",
            "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 30, 2017; 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.