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CROTALUS CHIROPRACTIC CENTERS, PLC
NPI 1073001590
Chiropractor in Phoenix, AZ

Active since April 30, 2018
3540 E BASELINE RD STE 117, PHOENIX, AZ 85042(602) 777-7970(877) 771-6086 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2020, Apr 30, 2018 (2 updates tracked since 2018).

About Crotalus Chiropractic Centers, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROTALUS CHIROPRACTIC CENTERS, PLC (NPI 1073001590) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since April 2018. The organization lists Brendan Patrick O'connor, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1073001590
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCROTALUS CHIROPRACTIC CENTERS, PLC
Location Address3540 E BASELINE RD STE 117Phoenix, AZ 85042-9628
Mailing Address3540 E Baseline Rd Ste 117Phoenix, AZ 85042-9628 · (602) 777-7970 · Fax (877) 771-6086
Phone(602) 777-7970
Fax(877) 771-6086
Organization SubpartNo
Authorized OfficialBrendan Patrick O'connorDoctor Of Chiropractic · (602) 777-7970
Enumeration DateApril 30, 2018
Last NPPES UpdateMay 22, 20202 updates tracked since enumeration
NPPES CertifiedMay 22, 2020
✔ NPI 1073001590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 6095
Definition
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.
3540 E BASELINE RD STE 117, Phoenix, AZ 85042
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crotalus Chiropractic Centers, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crotalus Chiropractic Centers, Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brendan O'connor, DC
Chiropractic
NPI 1154538700
3540 E BASELINE RD STE 120
Phoenix, AZ 85042
(602) 777-7970
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crotalus Chiropractic Centers, Plc's NPI number?

The NPI number for Crotalus Chiropractic Centers, Plc is 1073001590. It was assigned to this organization in the NPPES registry on April 30, 2018.

Where is Crotalus Chiropractic Centers, Plc located?

Crotalus Chiropractic Centers, Plc is located at 3540 E Baseline Rd Ste 117, Phoenix, AZ 85042. The listed phone number is (602) 777-7970.

What is Crotalus Chiropractic Centers, Plc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Crotalus Chiropractic Centers, Plc enrolled in Medicare?

Yes. Crotalus Chiropractic Centers, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crotalus Chiropractic Centers, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Crotalus Chiropractic Centers, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crotalus Chiropractic Centers, Plc was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.