DR. ROBERT H IVERSEN D.C. C.C.S.P NPI 1114017290

NPI Information

  • NPI: 1114017290
  • Provider Name: DR. ROBERT H IVERSEN, D.C., C.C.S.P
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 2702 N 44TH ST
    101A
    PHOENIX, AZ
    ZIP 85008
  • Phone: (480) 990-9095

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NPI Details

DR. Robert H Iversen, D.C., C.C.S.P is a chiropractor in Phoenix, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Robert H Iversen, D.C., C.C.S.P NPI is 1114017290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2702 N 44TH ST
101A
PHOENIX, AZ
ZIP 85008-583
Phone: (480) 990-9095
Fax: (480) 941-1233

The enumeration date for this NPI number is 10/13/2006 and was last updated on 2/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician4858ARIZONANo
2111N00000XChiropractor4858ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12455228OTHERARIZONAAETNA
2U28312MEDICARE UPINARIZONA
3AW2551OTHERARIZONAHEALTHNET
4ZWDCFB01MEDICARE PINARIZONA
5162173MEDICAIDARIZONA
6AZ0242900OTHERARIZONABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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