Advanced Spine and Rehab PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5639 Issued in AZ

Legal business name

ADVANCED SPINE AND REHAB PC

Practice address

4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616

Phone

(480) 892-1122

Fax

(480) 892-2243

NPI assigned

Jul 23, 2006

Last updated

Dec 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Crismon, DCNPI 1275591109

Title

Partner

Phone

(480) 892-1122

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Michael D Crismon, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1275591109
  Medicare reassignment Care Compare group NPD Authorized official
• Annette Villalobos Lopez, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1316388648
  Medicare reassignment Care Compare group NPD
• Brandie Baier

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1043045743
  Medicare reassignment
• R Keith Farr, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1770547838
  NPD (past)
• Michael Dion Miller, D.C.

  • Chiropractor
  • Chandler, AZ
  • NPI 1255339982
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1922020858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-892-1122",
            "fax_number": "480-892-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-892-1122",
            "fax_number": "480-892-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CRISMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-892-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5447",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Minimally Invasive Surgical
• Advanced Motion Chiropractic PLLC
• Advanced Orthopedics, L.L.C.
• Advanced Practice Womens Health PLLC
• Advanced Spine and Pain LLC
• Advanced Surgical Associates, LTD.
• Advanced Therapy Solutions, LLC
• Advanced Wellness Behavioral Health
• Advantage First Assisting LLC
• Advantage Surgery Center, LLC

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.