Active NPI
Phillip James Pokorny, D.C.
- Chiropractor
- Apache Junction, AZ
National Provider Identifier
1699889097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5604
- Practice address
- 110 S Idaho Rd
Suite 140
Apache Junction, AZ 85219-2379 - Phone
- (480) 671-5655
- Fax
- (480) 617-5705
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5604 | AZ | Primary |
Addresses
Primary practice location
110 S Idaho Rd
Suite 140
Apache Junction, AZ 85219-2379
Mailing address
110 S Idaho Rd
Suite 140
Apache Junction, AZ 85219-2379
Phone (480) 671-5655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 S Idaho Rd
Suite 140
Apache Junction, AZ 85119-2379
Phone (480) 671-5655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5604 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare LLC | Current | Accepting new patients | |
| Aligned 2021 | Current | Accepting new patients |
Locations
110 S Idaho Rd
Ste 140
Apache Junction, AZ 85119
Phone (480) 671-5655
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Apache Junction, AZ
- NPI 1710166806
-
- General Practice Physician
- Apache Junction, AZ
- NPI 1619225869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1699889097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S IDAHO RD",
"address_2": "SUITE 140",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852192379",
"telephone_number": "480-671-5655",
"fax_number": "480-617-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S IDAHO RD",
"address_2": "SUITE 140",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852192379",
"telephone_number": "480-671-5655",
"fax_number": "480-617-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POKORNY",
"first_name": "PHILLIP",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.