Organization Active NPI

De Bruin Chiropractic LTD

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1912101924
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04559 Issued in AZ
Legal business name
DE BRUIN CHIROPRACTIC LTD
Practice address
8010 E McDowell Rd Ste 123
Scottsdale, AZ 85257-3869
Phone
(480) 946-4476
NPI assigned
Jun 13, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Joseph De BruinNPI 1154306744
Title
Owner
Phone
(480) 946-4476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04559 AZ Primary

Addresses

Primary practice location

8010 E McDowell Rd Ste 123
Scottsdale, AZ 85257-3869

Mailing address

8010 E McDowell Rd Ste 123
Scottsdale, AZ 85257-3869

Other identifiers 1

IdentifierTypeStateIssuer
1154306744OtherAZNPI FOR JOSEPH DEBRUIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070717000024 AZ Part B Supplier - Clinic/Group Practice 2062512262 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8010 E McDowell Rd
Ste 123
Scottsdale, AZ 85257
Phone (480) 946-4476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1912101924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 E MCDOWELL RD STE 123",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 E MCDOWELL RD STE 123",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573869",
            "telephone_number": "480-946-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BRUIN CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DE BRUIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-946-4476"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "04559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR JOSEPH DEBRUIN",
            "identifier": "1154306744",
            "state": "AZ"
        }
    ],
    "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.