Beeline Chiropractic PC – Chiropractor in Payson, AZ

Key facts

NPI: 1972865939
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 3547 (AZ)
Legal business name: BEELINE CHIROPRACTIC PC
Practice address: 414 S Beeline Hwy
Suite 6
Payson, AZ 85541-4884
Phone: (928) 474-5555
Fax: (928) 474-3707
NPI assigned: Jun 14, 2012
Organization subpart: No

Authorized official

Name: Robert Jon Sanders, D.C.
Title: President
Phone: (928) 474-5555

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Robert Jon Sanders, DC Chiropractor · Payson, AZ · NPI 1376606665

Medicare reassignment NPD AZ · CHIROPRACTOR

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
03D2075071	Beeline Chiropractic 414 S Beeline Hwy, Ste 6, Payson, AZ 85541	Certificate of waiver	Mar 20, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AZ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120620000146	AZ	Part B Supplier - Clinic/Group Practice	9234393414	Receives reassigned benefits from 1 practitioner Practice locations: Payson, AZ

National Provider Directory

Locations

414 S Beeline Hwy
Ste 6
Payson, AZ 85541
Phone (520) 474-5555

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	3547	AZ	Yes

Addresses

Primary practice location

414 S Beeline Hwy
Suite 6
Payson, AZ 85541-4884

Mailing address

414 S Beeline Hwy
Suite 6
Payson, AZ 85541-4884
Phone (928) 474-5555

Other providers in Payson, AZ

All providers in Payson, AZ · Chiropractor in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.