Individual provider Active NPI

Stevanie Bahnerth, D.C.

  • Chiropractor
  • Cave Creek, AZ
National Provider Identifier
1942318878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7482 Issued in AZ
Practice address
30825 N Cave Creek Rd Ste 127
Cave Creek, AZ 85331-2954
Phone
(480) 563-5006
Fax
(480) 563-5276
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7482 AZ Primary

Addresses

Primary practice location

30825 N Cave Creek Rd Ste 127
Cave Creek, AZ 85331-2954

Mailing address

30825 N Cave Creek Rd Ste 127
Cave Creek, AZ 85331-2954
Phone (480) 563-5006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000063 AZ Practitioner - Chiropractic 3779588066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29455 N Cave Creek Rd
Suite 148
Cave Creek, AZ 85331-2396
Phone (480) 563-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7482AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Well Adjusted Incorporated Chiropractor CurrentSince Nov 1, 2005 Accepting new patients

Locations

29455 N Cave Creek Rd
Ste 148
Cave Creek, AZ 85331
Phone (480) 563-5006

Organizations & group practices 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942318878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30825 N CAVE CREEK RD STE 127",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312954",
            "telephone_number": "480-563-5006",
            "fax_number": "480-563-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30825 N CAVE CREEK RD STE 127",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312954",
            "telephone_number": "480-563-5006",
            "fax_number": "480-563-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNERTH",
        "first_name": "STEVANIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.