Organization Active NPI

Carson Robertson Chiropractic Inc

Doing business as Alpha Chiropractic & Physical Therapy

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1922204049
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7564 Issued in AZ
Legal business name
CARSON ROBERTSON CHIROPRACTIC INC
Doing business as
Alpha Chiropractic & Physical Therapy
Practice address
4955 S Alma School Rd Ste 10
Chandler, AZ 85248
Phone
(480) 812-1800
Fax
(480) 812-1839
NPI assigned
Jun 25, 2007
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Carson Robertson, DCNPI 1093747420
Title
Owner Provider
Phone
(480) 812-1800

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 7564 AZ Primary

Addresses

Primary practice location

4955 S Alma School Rd Ste 10
Chandler, AZ 85248

Mailing address

PO Box 12377
Chandler, AZ 85248
Phone (480) 812-1800

Other identifiers 2

IdentifierTypeStateIssuer
0943940OtherAZBCBS
DN7052OtherAZRR MEDICARE

Other names 1

  • Alpha Chiropractic & Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050727001038 AZ Part B Supplier - Clinic/Group Practice 4880622208 Receives reassigned benefits from 3 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1922204049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12377",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-812-1800",
            "fax_number": "480-812-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S ALMA SCHOOL RD STE 10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-812-1800",
            "fax_number": "480-812-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON ROBERTSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CARSON",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "480-812-1800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0943940",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN7052",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.