Organization Active NPI

Grayhawk Family Chiropractic LLC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1730372194
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7796 Issued in AZ
Legal business name
GRAYHAWK FAMILY CHIROPRACTIC LLC
Practice address
8714 E Vista Bonita Dr
Suite 101
Scottsdale, AZ 85255-4249
Phone
(480) 247-9063
Fax
(480) 247-9974
NPI assigned
Aug 20, 2007
Last updated
Apr 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Dr. Frank Sorrentino, D.C.NPI 1083765333
Title
Statutory Agent
Phone
(480) 247-9063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7796 AZ Primary
Physical Therapist 225100000X 9312PT AZ

Addresses

Primary practice location

8714 E Vista Bonita Dr
Suite 101
Scottsdale, AZ 85255-4249

Mailing address

8714 E Vista Bonita Dr
Suite 101
Scottsdale, AZ 85255-4249
Phone (480) 247-9063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000155 AZ Part B Supplier - Clinic/Group Practice 0547354334 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7900 E Thompson Peak Pkwy
Ste 104
Scottsdale, AZ 85255
Phone (480) 247-9063

8714 E Vista Bonita Dr
Ste 101
Scottsdale, AZ 85255
Phone (480) 247-9063

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1730372194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 E VISTA BONITA DR",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554249",
            "telephone_number": "480-247-9063",
            "fax_number": "480-247-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 E VISTA BONITA DR",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554249",
            "telephone_number": "480-247-9063",
            "fax_number": "480-247-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYHAWK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "SORRENTINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "STATUTORY AGENT",
        "authorized_official_telephone_number": "480-247-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7796",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9312PT",
            "primary": false
        }
    ],
    "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 Apr 17, 2017; 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.