DR. DEREK P PRUNI DC
NPI 1154304590
Chiropractor in Mesa, AZ

Active since November 21, 2005Accepts Medicare Assignment
5233 E SOUTHERN AVE, STE 104, MESA, AZ 85206(480) 785-4959(480) 785-4827 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek P Pruni Dc NPPES

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

DR. DEREK P PRUNI DC (NPI 1154304590) is an individual chiropractor in Mesa, Arizona, licensed in Arizona (7918) and active in the NPI registry since November 2005. He is a graduate of Palmer College Chiropractic - Davenport (1994).

NPPES Registry Identity

NPI1154304590
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEREK P PRUNICredential: DC
Location Address5233 E SOUTHERN AVE, STE 104Mesa, AZ 85206-3628
Mailing Address5233 E Southern Ave, Suite 104Mesa, AZ 85206-3625 · (480) 830-2882 · Fax (480) 830-2881
Fax(480) 785-4827
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1994
Enumeration DateNovember 21, 2005
Last NPPES UpdateApril 17, 2017
NPI 1154304590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 7918
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.
5233 E SOUTHERN AVE, Mesa, AZ 85206

Other Identifiers 1

Other9222584AZ · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek P Pruni Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789690876
PECOS Enrollment IDI20090206000082

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
794 services81 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
103 services13 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5233 E SOUTHERN AVE, SUITE #104
MESA, AZ 85206
Acupuncturist
5233 E SOUTHERN AVE
MESA, AZ 85206
Physical Therapist
5233 E SOUTHERN AVE, #104
MESA, AZ 85206
Chiropractor (Rehabilitation)
5233 E SOUTHERN AVE, SUITE 104
MESA, AZ 85206
Hearing Instrument Specialist
5233 E SOUTHERN AVE, SUITE 103
MESA, AZ 85206

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 Derek Pruni's NPI number?

The NPI number for Derek Pruni is 1154304590. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Derek Pruni located?

Derek Pruni practices at 5233 E Southern Ave Ste 104, Mesa, AZ 85206. The listed phone number is (480) 785-4959.

What is Derek Pruni's specialty?

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

Is Derek Pruni enrolled in Medicare?

Yes. Derek Pruni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derek Pruni was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.