Active NPI
Tanya Averill, D.C.
- Rehabilitation Chiropractor
- Scottsdale, AZ
National Provider Identifier
1710195052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 7500
- Practice address
- 10313 N Scottsdale Rd
Suite a
Scottsdale, AZ 85253-4538 - Phone
- (480) 991-1291
- Fax
- (480) 368-5877
- NPI assigned
- May 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 7500 | AZ | Primary |
Addresses
Primary practice location
10313 N Scottsdale Rd
Suite a
Scottsdale, AZ 85253-4538
Mailing address
602 N May Unit 82
Mesa, AZ 85201-7506
Phone (480) 626-0145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7500 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1710195052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N MAY UNIT 82",
"city": "MESA",
"state": "AZ",
"postal_code": "852017506",
"telephone_number": "480-626-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10313 N SCOTTSDALE RD",
"address_2": "SUITE A",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852534538",
"telephone_number": "480-991-1291",
"fax_number": "480-368-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERILL",
"first_name": "TANYA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "7500",
"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 Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.