Organization Active NPI

Neurology America LLC

  • Neurology Chiropractor
  • Mesa, AZ
National Provider Identifier
1750182457
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
NEUROLOGY AMERICA LLC
Practice address
4838 E Baseline Rd Ste 114
Mesa, AZ 85206-4674
Phone
(480) 969-4040
Fax
(480) 295-3722
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
David WarkentinNPI 1164590006
Title
Owner
Phone
(480) 221-7395

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

4838 E Baseline Rd Ste 114
Mesa, AZ 85206-4674

Mailing address

4838 E Baseline Rd Ste 114
Mesa, AZ 85206-4674
Phone (480) 969-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250609002983 AZ Part B Supplier - Clinic/Group Practice 7113437195 Receives reassigned benefits from 3 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

4838 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 969-4040

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1750182457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064674",
            "telephone_number": "480-969-4040",
            "fax_number": "480-295-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064674",
            "telephone_number": "480-969-4040",
            "fax_number": "480-295-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "WARKENTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-221-7395"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.