Organization Active NPI

Waxman Chiropractic Services P.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1801023015
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3220 Issued in AZ
Legal business name
WAXMAN CHIROPRACTIC SERVICES P.C.
Practice address
125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223
Phone
(602) 253-8823
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Ron Waxman, D.C.NPI 1932103496
Title
President
Phone
(602) 253-8823

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3220 AZ Primary

Addresses

Primary practice location

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223

Mailing address

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223
Phone (602) 253-8823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130327000406 AZ Part B Supplier - Clinic/Group Practice 9739324534 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1801023015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MCDOWELL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031223",
            "telephone_number": "602-253-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MCDOWELL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031223",
            "telephone_number": "602-253-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXMAN CHIROPRACTIC SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-253-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3220",
            "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 Oct 31, 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.