Individual provider Active NPI

Nick Schembri, D.C.

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1952548281
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ9028 Issued in AZ
Practice address
3220 Lakeside VLG
Prescott, AZ 86301-7647
Phone
(928) 277-4992
Fax
(951) 696-7335
NPI assigned
Jan 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31057 CA
Chiropractor 111N00000X AZ9028 AZ Primary

Addresses

Primary practice location

3220 Lakeside VLG
Prescott, AZ 86301-7647

Mailing address

3220 Lakeside VLG
Prescott, AZ 86301-7647
Phone (928) 277-4992

Other identifiers 3

IdentifierTypeStateIssuer
AZ9028OtherAZSTATE LICENSE
1699442590OtherAZGROUP NPI
1952548281OtherCANPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ9028AZMDChiropractor
DC31057CAMDChiropractor
31057CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Family Chiropractic Chiropractor Current Accepting new patients

Locations

728 N Montezuma St
Ste A
Prescott, AZ 86301
Phone (928) 778-0147

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1952548281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 LAKESIDE VLG",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017647",
            "telephone_number": "928-277-4992",
            "fax_number": "951-696-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 LAKESIDE VLG",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017647",
            "telephone_number": "928-277-4992",
            "fax_number": "951-696-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEMBRI",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31057",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ9028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AZ9028",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1699442590",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952548281",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.