Individual provider Active NPI

Ron Waxman, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1932103496
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3220 Issued in AZ
Practice address
125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223
Phone
(602) 253-8823
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3220 AZ Primary

Addresses

Primary practice location

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223

Mailing address

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223
Phone (602) 253-8823

Other identifiers 1

IdentifierTypeStateIssuer
AZ0243720OtherAZBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051116000103 AZ Practitioner - Chiropractic 1951320225 Reassigns benefits to 1 organization
I20110303000431 IL Practitioner - Chiropractic 1951320225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 W McDowell Rd
Suite B
Phoenix, AZ 85003-1223
Phone (602) 253-8823

4353 S Kedzie Ave
Chicago, IL 60632-2841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waxman Chiropractic Services P.C. Chiropractor CurrentSince Dec 1, 2012 Accepting new patients
Back to Health Chiropractic LTD Chiropractor PastSince Sep 7, 2010 Accepting new patients

Locations

809 E Washington St
Ste 204
Phoenix, AZ 85034
Phone (602) 253-8823

125 W McDowell Rd
Ste B
Phoenix, AZ 85003
Phone (480) 828-7563

Organizations & group practices 3

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1932103496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MCDOWELL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031223",
            "telephone_number": "602-253-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MCDOWELL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031223",
            "telephone_number": "602-253-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "RON",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0243720",
            "state": "AZ"
        }
    ],
    "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 Oct 31, 2024; 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.