Individual provider Active NPI

Laureen D Pavtis, DC

  • Nutrition Chiropractor
  • Mesa, AZ
National Provider Identifier
1831104272
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
8169 Issued in AZ
Practice address
6638 E Baseline Rd
Suite #103
Mesa, AZ 85206-4432
Phone
(480) 985-7070
Fax
(480) 641-7048
NPI assigned
Jul 31, 2006
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 8169 AZ Primary

Addresses

Primary practice location

6638 E Baseline Rd
Suite #103
Mesa, AZ 85206-4432

Mailing address

6638 E Baseline Rd
Suite #103
Mesa, AZ 85206-4432
Phone (480) 985-7070

Other identifiers 3

IdentifierTypeStateIssuer
1940642OtherPABC/BS
9788344OtherCIGNA
665810OtherACN GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000479 AZ Practitioner - Chiropractic 9436330578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pentz Health Services LLCGroup PAC ID 1557392214, 7 clinicians

Practice addresses (Care Compare)

6402 E Superstition Springs Blvd
Suite 123
Mesa, AZ 85206-4391
Phone (480) 833-0302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health & Wellness Centers PLLC Chiropractor CurrentSince Nov 7, 2011 Accepting new patients
Pentz Health Services LLC Chiropractor CurrentSince Mar 15, 2017 Accepting new patients
Natural Wellness Chiropractic Center, Inc. Chiropractor Past Accepting new patients

Locations

2509 S Power Rd
Ste 115
Mesa, AZ 85209
Phone (480) 463-4325

6402 E Superstition Springs Blvd
Ste 123
Mesa, AZ 85206
Phone (480) 794-1061

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1831104272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 E BASELINE RD",
            "address_2": "SUITE #103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064432",
            "telephone_number": "480-985-7070",
            "fax_number": "480-641-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 E BASELINE RD",
            "address_2": "SUITE #103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064432",
            "telephone_number": "480-985-7070",
            "fax_number": "480-641-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVTIS",
        "first_name": "LAUREEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "8169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1940642",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9788344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "665810",
            "state": null
        }
    ],
    "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 Jan 12, 2011; 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.