Active NPI
Robert David Welch, D.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1831269570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4239
- Practice address
- 1628 E Bethany Home Rd
Phoenix, AZ 85016-2515 - Phone
- (602) 230-9292
- Fax
- (602) 230-2319
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4239 | AZ | Primary |
Addresses
Primary practice location
1628 E Bethany Home Rd
Phoenix, AZ 85016-2515
Mailing address
1628 E Bethany Home Rd
Phoenix, AZ 85016-2515
Phone (602) 230-9292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1628 E Bethany Home Rd
Phoenix, AZ 85016-2515
Phone (602) 230-9292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4239 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
1628 E Bethany Home Rd
Phoenix, AZ 85016
Phone (602) 230-9292
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 and National Provider Directory roles.
-
- Chiropractor
- Phoenix, AZ
- NPI 1053571059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1831269570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 E BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850162515",
"telephone_number": "602-230-9292",
"fax_number": "602-230-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 E BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850162515",
"telephone_number": "602-230-9292",
"fax_number": "602-230-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4239",
"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 Jul 5, 2012; 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.