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KENT PEDERSON DC NPI 1518971050


NPI Information

NPI: 1518971050
Provider Name: KENT PEDERSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
11111 N SCOTTSDALE RD
SUITE 105
SCOTTSDALE, AZ
ZIP 85254
Phone: (480) 609-1080
Get Directions

Kent Pederson, DC is a chiropractor in Scottsdale, 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. Kent Pederson, DC NPI is 1518971050. 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:

11111 N SCOTTSDALE RD
SUITE 105
SCOTTSDALE, AZ
ZIP 85254-701
Phone: (480) 609-1080
Fax: (480) 951-7581

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5817ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
171546MEDICARE ID-TYPE UNSPECIFIEDARIZONAMEDICARE PROVIDER NUMBER
2AZ0936750OTHERARIZONABCBS OF AZ PROVIDER ID#
3U20984MEDICARE UPINARIZONA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.