Individual provider Active NPI

Brandon Roark Harshe, D.C.

  • Chiropractor
  • Maricopa, AZ
National Provider Identifier
1962756379
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8759 Issued in AZ
Practice address
20800 N John Wayne Pkwy Ste 116
Maricopa, AZ 85139-2728
Phone
(520) 350-0074
NPI assigned
Nov 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 11348 TX
Chiropractor 111N00000X 8759 AZ Primary

Addresses

Primary practice location

20800 N John Wayne Pkwy Ste 116
Maricopa, AZ 85139-2728

Mailing address

20800 N John Wayne Pkwy Ste 116
Maricopa, AZ 85139-2728
Phone (520) 350-0074

Other practice location 1

11801 Domain Blvd
Third Floor
Austin, TX 78758-3429
Phone (737) 802-8332

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@harshechiropractic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603001219 AZ Practitioner - Chiropractic 2567883358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21300 N John Wayne Pkwy
Suite 103
Maricopa, AZ 85139-8964
Phone (520) 350-0074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11348TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harshe Chiropractic LLC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients

Locations

21300 N John Wayne Pkwy
Ste 103
Maricopa, AZ 85139
Phone (520) 350-0074

20800 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 350-0074

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1962756379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 N JOHN WAYNE PKWY STE 116",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392728",
            "telephone_number": "520-350-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 N JOHN WAYNE PKWY STE 116",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392728",
            "telephone_number": "520-350-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 Domain Blvd",
            "address_2": "Third Floor",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787583429",
            "country_code": "US",
            "telephone_number": "737-802-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARSHE",
        "first_name": "BRANDON",
        "middle_name": "ROARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2023-11-29",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11348",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@harshechiropractic.com",
            "affiliation": "Y",
            "endpointDescription": "practice email",
            "address_1": "20800 N John Wayne Pkwy Ste 116",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851392728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.