Active NPI
Jeff Cottingham, D.C.
- Chiropractor
- Chandler, AZ
National Provider Identifier
1689615304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5530/3186
- Practice address
- 5055 W Ray Rd
Suite 21
Chandler, AZ 85226-6108 - Phone
- (480) 940-4880
- Fax
- (480) 940-4809
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5530/3186 | AZ | Primary |
Addresses
Primary practice location
5055 W Ray Rd
Suite 21
Chandler, AZ 85226-6108
Mailing address
5055 W Ray Rd
Suite 21
Chandler, AZ 85226-6108
Phone (480) 940-4880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860945080 | Other | AZ | TAX ID # |
| 0930200 | Other | AZ | BCBS ARIZONA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5530/3186 | AZ | MD | Chiropractor |
| 5530 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1689615304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 W RAY RD",
"address_2": "SUITE 21",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852266108",
"telephone_number": "480-940-4880",
"fax_number": "480-940-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 W RAY RD",
"address_2": "SUITE 21",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852266108",
"telephone_number": "480-940-4880",
"fax_number": "480-940-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTINGHAM",
"first_name": "JEFF",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5530/3186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "860945080",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ARIZONA",
"identifier": "0930200",
"state": "AZ"
}
],
"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 Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.