Individual provider Active NPI

Jonathan Joseph David, D.C

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1679649693
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7573 Issued in AZ
Practice address
1445 S Arizona Ave Ste 12
Chandler, AZ 85286-6509
Phone
(480) 726-3305
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 7573 AZ
Chiropractor 111N00000X 7573 AZ Primary

Addresses

Primary practice location

1445 S Arizona Ave Ste 12
Chandler, AZ 85286-6509

Mailing address

1445 S Arizona Ave Ste 12
Chandler, AZ 85286-6509
Phone (480) 726-3305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000694 AZ Practitioner - Chiropractic 0547286601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Spine and Sport Therapy PCGroup PAC ID 1153492681, 2 clinicians

Practice addresses (Care Compare)

1445 S Arizona Ave
Suite 12
Chandler, AZ 85286-6509
Phone (480) 726-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Spine & Sport Therapy PC Chiropractor CurrentSince Apr 10, 2008 Accepting new patients
Optimal Health Center Chiropractor PastSince Jun 8, 2017 Accepting new patients

Locations

1445 S Arizona Ave
Ste 12
Chandler, AZ 85286
Phone (480) 200-3771

1055 S Arizona Ave
Ste 1
Chandler, AZ 85286
Phone (480) 726-3305

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1679649693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 S ARIZONA AVE STE 12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866509",
            "telephone_number": "480-726-3305",
            "fax_number": "480-726-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 S ARIZONA AVE STE 12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866509",
            "telephone_number": "480-726-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "7573",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.