Individual provider Active NPI

Eric L Poole, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1871628768
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7618 Issued in AZ
Practice address
16620 N 40TH St Ste B2
Phoenix, AZ 85032-3362
Phone
(602) 493-0004
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29283 CA
Chiropractor 111N00000X 7618 AZ Primary

Addresses

Primary practice location

16620 N 40TH St Ste B2
Phoenix, AZ 85032-3362

Mailing address

42104 N Venture Dr Ste A102
Anthem, AZ 85086-3824
Phone (480) 322-1553

Other practice location 1

42104 N Venture Dr Ste A102
Anthem, AZ 85086-3824
Phone (480) 322-1553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713001015 AZ Practitioner - Chiropractic 6507892262 Reassigns benefits to 1 organization
Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kai Health and Wellness LLCGroup PAC ID 1658643655, 4 clinicians

Practice addresses (Care Compare)

16620 N 40TH St
Suite 2
Phoenix, AZ 85032-3348
Phone (602) 493-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4298AZMDPsychologist
DC29283CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kai Health & Wellness, LLC CurrentSince Jul 31, 2017 Accepting new patients
The Chiropractic Company, PLLC Chiropractor PastSince Jan 1, 2007 Accepting new patients

Locations

16620 N 40th St
Ste B2
Phoenix, AZ 85032
Phone (602) 493-0004

16620 N 40th St
Ste I2
Phoenix, AZ 85032
Phone (480) 315-8322

16620 N 40th St
Ste 2
Phoenix, AZ 85032
Phone (602) 493-0004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1871628768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE A102",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863824",
            "telephone_number": "480-322-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE B2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323362",
            "telephone_number": "602-493-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42104 N Venture Dr Ste A102",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863824",
            "country_code": "US",
            "telephone_number": "480-322-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29283",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7618",
            "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 Jun 24, 2025; 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.