Individual provider Active NPI

Austin Stendebach, DC

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1780462663
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9292 Issued in AZ
Practice address
13733 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8014
Phone
(623) 444-7100
Fax
(623) 748-9003
NPI assigned
Sep 20, 2023
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9292 AZ Primary

Addresses

Primary practice location

13733 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8014

Mailing address

5777 W Golden LN
Glendale, AZ 85302-4614
Phone (913) 620-8223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002120 AZ Practitioner - Chiropractic 9335580745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9292AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Mesa LLC Chiropractor CurrentSince Dec 15, 2024 Accepting new patients

Locations

1910 S Stapley Dr
Ste 205
Mesa, AZ 85204
Phone (480) 530-0702

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1780462663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W GOLDEN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024614",
            "telephone_number": "913-620-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13733 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888014",
            "telephone_number": "623-444-7100",
            "fax_number": "623-748-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENDEBACH",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.