Individual provider Active NPI

Michael Scott Mitchell, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1871605980
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7517 Issued in AZ
Practice address
9188 E San Salvador Dr Ste 201
Scottsdale, AZ 85258-5534
Phone
(480) 391-7788
Fax
(480) 391-7793
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7517 AZ Primary
Physical Medicine & Rehabilitation Physician 208100000X 4209 AZ

Addresses

Primary practice location

9188 E San Salvador Dr Ste 201
Scottsdale, AZ 85258-5534

Mailing address

9188 E San Salvador Dr Ste 201
Scottsdale, AZ 85258-5534
Phone (480) 391-7788

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

LicenseStateTypeSpecialty
7517AZMDChiropractor
4209AZMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1871605980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9188 E SAN SALVADOR DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585534",
            "telephone_number": "480-391-7788",
            "fax_number": "480-391-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9188 E SAN SALVADOR DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585534",
            "telephone_number": "480-391-7788",
            "fax_number": "480-391-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7517",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "4209",
            "primary": false
        }
    ],
    "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 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.