Individual provider Active NPI

Phillip Rinaldo, DC

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1700972635
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8662 Issued in AZ
Practice address
16960 W Bell Rd Ste 501
Surprise, AZ 85374-8946
Phone
(623) 242-1153
NPI assigned
Oct 5, 2006
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8662 AZ Primary

Addresses

Primary practice location

16960 W Bell Rd Ste 501
Surprise, AZ 85374-8946

Mailing address

16960 W Bell Rd Ste 501
Surprise, AZ 85374-8946
Phone (623) 242-1153

Other identifiers 1

IdentifierTypeStateIssuer
0004532341OtherILBLUE CROSS BLUE SHIELD

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
8662AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Group, PLLC Chiropractor Past Accepting new patients
Advanced Physical Medicine of Yorkville, LTD PastSince Nov 12, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1700972635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16960 W BELL RD STE 501",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748946",
            "telephone_number": "623-242-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 W BELL RD STE 501",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748946",
            "telephone_number": "623-242-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDO",
        "first_name": "PHILLIP",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004532341",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.