Active NPI
Michael Charles Cole, D.O.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1891874350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AZ5515
- Practice address
- 9421 N Arroya Vista Dr E
Phoenix, AZ 85028-4809 - Phone
- (602) 956-2720
- Fax
- (602) 956-2727
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 9, 2007
- 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 | AZ5515 | AZ | Primary |
Addresses
Primary practice location
9421 N Arroya Vista Dr E
Phoenix, AZ 85028-4809
Mailing address
9421 N Arroya Vista Dr E
Phoenix, AZ 85028-4809
Phone (602) 956-2720
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ5515 | AZ | MD | Chiropractor |
| 5515 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearny Life Center, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Kearny, AZ
- NPI 1396945531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891874350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9421 N ARROYA VISTA DR E",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284809",
"telephone_number": "602-956-2720",
"fax_number": "602-956-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9421 N ARROYA VISTA DR E",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284809",
"telephone_number": "602-956-2720",
"fax_number": "602-956-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "AZ5515",
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.