Individual provider Active NPI

Kevin Fox, D.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gilbert, AZ
National Provider Identifier
1972562783
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
AP4276 Issued in AZ
Practice address
5656 S Power Rd
Suite 132
Gilbert, AZ 85295-8487
Phone
(480) 985-0040
Fax
(480) 279-5275
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5716 AZ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X AP4276 AZ Primary

Addresses

Primary practice location

5656 S Power Rd
Suite 132
Gilbert, AZ 85295-8487

Mailing address

5656 S Power Rd
Suite 132
Gilbert, AZ 85295-8487
Phone (480) 985-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000158 AZ Practitioner - Chiropractic 0446285373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Spine and Health Center IncGroup PAC ID 2466487392, 2 clinicians

Practice addresses (Care Compare)

5656 S Power Rd
Suite 132
Gilbert, AZ 85295-8490
Phone (480) 985-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5716AZMDChiropractor
AP4276AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Spine & Health Center Inc Chiropractor CurrentSince Jul 1, 2005 Accepting new patients
The Wellness Way, Inc. Chiropractor Past Accepting new patients
Infinite Healing Solutions PLLC Chiropractor Past Accepting new patients
Afc Physical Medicine of Gilbert, PLLC PastSince Jul 11, 2005 Accepting new patients

Locations

5656 S Power Rd
Ste 132
Gilbert, AZ 85295
Phone (480) 279-5270

Organizations & group practices 4

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1972562783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD",
            "address_2": "SUITE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958487",
            "telephone_number": "480-985-0040",
            "fax_number": "480-279-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD",
            "address_2": "SUITE 132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958487",
            "telephone_number": "480-985-0040",
            "fax_number": "480-279-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5716",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "AP4276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.