Individual provider Active NPI

Anthony Kassube, D.C.

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1932478203
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8243 Issued in AZ
Practice address
13761 W Bell Rd
Suite 203
Surprise, AZ 85374-2453
Phone
(623) 214-7600
Fax
(623) 214-7662
NPI assigned
Dec 15, 2011
Last updated
May 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8243 AZ Primary
Independent Medical Examiner Chiropractor 111NI0013X 8243 AZ

Addresses

Primary practice location

13761 W Bell Rd
Suite 203
Surprise, AZ 85374-2453

Mailing address

13761 W Bell Rd
Suite 203
Surprise, AZ 85374-2453
Phone (623) 214-7600

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1932478203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13761 W BELL RD",
            "address_2": "SUITE 203",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742453",
            "telephone_number": "623-214-7600",
            "fax_number": "623-214-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13761 W BELL RD",
            "address_2": "SUITE 203",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742453",
            "telephone_number": "623-214-7600",
            "fax_number": "623-214-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSUBE",
        "first_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8243",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "AZ",
            "license": "8243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.