Active NPI
George Anthony Defabritis, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1720154966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 686
- Practice address
- 5350 N 16TH St
107
Phoenix, AZ 85016-3213 - Phone
- (602) 955-7400
- Fax
- (602) 955-7416
- NPI assigned
- Nov 28, 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 | 686 | AZ | Primary |
Addresses
Primary practice location
5350 N 16TH St
107
Phoenix, AZ 85016-3213
Mailing address
5350 N 16TH St
107
Phoenix, AZ 85016-3213
Phone (602) 955-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0086870 | Other | AZ | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 686 | AZ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291420800000",
"number": "1720154966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 N 16TH ST",
"address_2": "107",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163213",
"telephone_number": "602-955-7400",
"fax_number": "602-955-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 N 16TH ST",
"address_2": "107",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163213",
"telephone_number": "602-955-7400",
"fax_number": "602-955-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFABRITIS",
"first_name": "GEORGE",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2010-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0086870",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.