Individual provider Active NPI

Nickolas Scott McCann, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1720316847
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8090 Issued in AZ
Practice address
34406 N. 27TH Dr. Build 6, Suite 140
Phoenix, AZ 85085
Phone
(480) 221-0621
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8090 AZ Primary

Addresses

Primary practice location

34406 N. 27TH Dr. Build 6, Suite 140
Phoenix, AZ 85085

Mailing address

3120 W Carefree Hwy Ste 1-328
Phoenix, AZ 85086-3268
Phone (480) 221-0621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000485 AZ Practitioner - Chiropractic 4486893278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34406 N 27TH Dr
BLDG 2 Suite 110
Phoenix, AZ 85085-7730
Phone (623) 242-8385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8090AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tramonto Chiropractic, LLC Chiropractor CurrentSince May 1, 2013 Accepting new patients

Locations

34406 N 27th Dr
Ste 110
Phoenix, AZ 85085
Phone (623) 215-9951

3120 W Carefree Hwy
Ste 1328
Phoenix, AZ 85086

34406 N 27th Dr
Ste 140
Phoenix, AZ 85085
Phone (480) 648-5217

Organizations & group practices 1

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1720316847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W CAREFREE HWY STE 1-328",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863268",
            "telephone_number": "480-221-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N. 27TH DR. BUILD 6, SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "480-221-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "NICKOLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8090",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 1, 2013; 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.

Verify at the official NPI Registry.