Active NPI
Adham Hanna Abdallah, D.C.
- Chiropractor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7884
- Practice address
- 1855 W Greenway Rd
Suite 111
Phoenix, AZ 85023-3475 - Phone
- (602) 993-0131
- Fax
- (602) 993-7335
- NPI assigned
- Dec 21, 2007
- Last updated
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7884 | AZ | Primary |
Addresses
Primary practice location
1855 W Greenway Rd
Suite 111
Phoenix, AZ 85023-3475
Mailing address
1800 S Milton Rd
Ste 14
Flagstaff, AZ 86001-6336
Phone (602) 993-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1800 S Milton Rd
Suite 14
Flagstaff, AZ 86001-6336
Phone (928) 774-0026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7884 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Joint LLC | Chiropractor | Current | Accepting new patients |
| Nelson Life Centers | Chiropractor | Past | Accepting new patients |
Locations
1800 S Milton Rd
Ste 14
Flagstaff, AZ 86001
Phone (928) 774-0026
1855 W Greenway Rd
Ste 111
Phoenix, AZ 85023
Phone (602) 993-0131
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Phoenix, AZ
- NPI 1427225994
-
- Chiropractor
- Phoenix, AZ
- NPI 1134305444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1952585291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 S MILTON RD",
"address_2": "STE 14",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860016336",
"telephone_number": "602-993-0131",
"fax_number": "602-993-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W GREENWAY RD",
"address_2": "SUITE 111",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850233475",
"telephone_number": "602-993-0131",
"fax_number": "602-993-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDALLAH",
"first_name": "ADHAM",
"middle_name": "HANNA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7884",
"primary": true
}
],
"identifiers": [],
"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 12, 2016; 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.