Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114017290 Individual Practitioner Male Practitioner

Dr. Robert H Iversen , DC, CCSP

Chiropractor • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Robert Iversen, DC, CCSP is a registered healthcare professional specializing in Chiropractor in Phoenix, AZ. Practice services are available at 2702 N 44TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2702 N 44th St
101a

Phoenix, AZ 850081583

Telephone 4809909095
Fax 4809411233
Associated Practice Facility / Clinic
🏢 Continuum Group West Llc Facility NPI 1972744944

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
460 Specialists

Practicing in Phoenix, AZ (2102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AZ 4858

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.

Chiropractor - Sports Physician

NUCC Taxonomy Code: 111NS0005X

State License AZ 4858

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
162173 (AZ)
Commercial Insurance / Payer ID Bcbs
AZ0242900 (AZ)
Commercial Insurance / Payer ID Healthnet
AW2551 (AZ)
Commercial Insurance / Payer ID Aetna
2455228 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ann Grab , PT

Physical Therapist

NPI 1720286883

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2010

Registered at 2702 N 44TH ST, 101A, PHOENIX, AZ 850081583 (Tel: 4809909095)

📍
Updated Business Mailing Address February 01, 2010

Registered at 1651 OLD MEADOW RD, STE 600, MC LEAN, VA 221024311 (Tel: 7035060213)

👤
Provider Name / Credentials Updated February 01, 2010

Recorded as ROBERT IVERSEN, D.C., C.C.S.P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2010

Chiropractor (License #4858 in AZ)

🟢
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114017290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: February 01, 2010
Sole Proprietor: No

Mailing Address

1651 Old Meadow Rd, Ste 600

Mc Lean, VA 221024311

Phone: 7035060213

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.