Individual provider Active NPI

Madison Chavka

  • Other Specialist/Technologist
  • Scottsdale, AZ
National Provider Identifier
1689420176
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
10609 N Frank Lloyd Wright Blvd Ste 120
Scottsdale, AZ 85259-2659
Phone
(480) 572-0081
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X AZ Primary

Addresses

Primary practice location

10609 N Frank Lloyd Wright Blvd Ste 120
Scottsdale, AZ 85259-2659

Mailing address

10609 N Frank Lloyd Wright Blvd Ste 102
Scottsdale, AZ 85259-2660
Phone (480) 572-0081

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1689420176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 N FRANK LLOYD WRIGHT BLVD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592660",
            "telephone_number": "480-572-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 N FRANK LLOYD WRIGHT BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592659",
            "telephone_number": "480-572-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVKA",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "AZ",
            "license": null,
            "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 Apr 25, 2024; 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.