Active NPI
Robert Leo Menner, CHIROPRACTOR
- Chiropractor
- Scottsdale, AZ
National Provider Identifier
1831429950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7727
- Practice address
- 17470 N Pacesetter Way
Scottsdale, AZ 85255-5388 - Phone
- (480) 305-2071
- NPI assigned
- Jan 12, 2010
- 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 | 7727 | AZ | Primary |
Addresses
Primary practice location
17470 N Pacesetter Way
Scottsdale, AZ 85255-5388
Mailing address
17470 N Pacesetter Way
Scottsdale, AZ 85255-5388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7727 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1831429950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17470 N PACESETTER WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17470 N PACESETTER WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555388",
"telephone_number": "480-305-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNER",
"first_name": "ROBERT",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-12",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.