Individual provider Active NPI

John M. Driessche, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1992890990
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5198 Issued in AZ
Practice address
5640 E Bell Rd Unit 1050
Scottsdale, AZ 85254-5955
Phone
(602) 547-9733
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5198 AZ Primary

Addresses

Primary practice location

5640 E Bell Rd Unit 1050
Scottsdale, AZ 85254-5955

Mailing address

5640 E Bell Rd Unit 1050
Scottsdale, AZ 85254-5955
Phone (602) 547-9733

Other identifiers 2

IdentifierTypeStateIssuer
AZ0245200OtherAZBLUE CROSS BLUE SHIELD OF ARIZONA
327462MedicaidAZ

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1992890990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 E BELL RD UNIT 1050",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545955",
            "telephone_number": "602-547-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 E BELL RD UNIT 1050",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545955",
            "telephone_number": "602-547-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESSCHE",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ARIZONA",
            "identifier": "AZ0245200",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327462",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.