Individual provider Active NPI

Chadwick Stewart, D.C.

  • Chiropractor
  • Laveen, AZ
National Provider Identifier
1710047758
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7531 Issued in AZ
Practice address
5130 W Baseline Rd
Ste. 110
Laveen, AZ 85339-2984
Phone
(602) 237-1105
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7531 AZ Primary

Addresses

Primary practice location

5130 W Baseline Rd
Ste. 110
Laveen, AZ 85339-2984

Mailing address

5130 W Baseline Rd
Ste. 110
Laveen, AZ 85339-2984
Phone (602) 237-1105

Other identifiers 1

IdentifierTypeStateIssuer
1710047758OtherAZNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000583 AZ Practitioner - Chiropractic 6800993502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7531AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Chiropractic and Family Wellness Center Chiropractor Past Accepting new patients
Physical Medicine Centers of Arizona, LLC Past Accepting new patients

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1710047758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 W BASELINE RD",
            "address_2": "STE. 110",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392984",
            "telephone_number": "602-237-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 W BASELINE RD",
            "address_2": "STE. 110",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392984",
            "telephone_number": "602-237-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710047758",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.