1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Chiropractor
  6. NPI Profile

ADVANCED SPINE AND REHAB PC
NPI 1922020858
Chiropractor in Mesa, AZ

Active since July 23, 2006CLIA 03D1026047 · Waiver
4540 E BASELINE RD STE 111, MESA, AZ 85206(480) 892-1122(480) 892-2243 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Aug 1, 2024 (2 updates tracked since 2024).

About Advanced Spine And Rehab Pc NPPES

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

ADVANCED SPINE AND REHAB PC (NPI 1922020858) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Michael David Crismon, Partner, as its authorized official.

NPPES Registry Identity

NPI1922020858
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED SPINE AND REHAB PC
Location Address4540 E BASELINE RD STE 111Mesa, AZ 85206-4616
Mailing Address4540 E Baseline Rd Ste 111Mesa, AZ 85206-4616 · (480) 892-1122 · Fax (480) 892-2243
Phone(480) 892-1122
Fax(480) 892-2243
Organization SubpartNo
Authorized OfficialMichael David CrismonPartner · (480) 892-1122
Enumeration DateJuly 23, 2006
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1922020858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in AZ · 5639✔ Licensed in AZ · 5447
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4540 E BASELINE RD STE 111, Mesa, AZ 85206
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1026047

Advanced Spine & Rehab PC · Mesa, AZ
Active · expires Feb 11, 2028
CLIA Number03D1026047
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorAnnette Lopez
Laboratory Phone(480) 892-1122
Laboratory LocationAdvanced Spine & Rehab PC4540 E Baseline Rd Ste 111, Mesa, AZ 85206
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

R KEITH FARR DDS LLC
Dentist (General Practice)
4540 E BASELINE RD STE 111
MESA, AZ 85206
Maricopa County (480) 834-8035
DR. MICHAEL D CRISMON D.C.
Chiropractor
4540 E BASELINE RD STE 111
MESA, AZ 85206
Maricopa County (480) 892-1122

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 Advanced Spine And Rehab PC's NPI number?

The NPI number for Advanced Spine And Rehab PC is 1922020858. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Advanced Spine And Rehab PC located?

Advanced Spine And Rehab PC is located at 4540 E Baseline Rd Ste 111, Mesa, AZ 85206. The listed phone number is (480) 892-1122.

What is Advanced Spine And Rehab PC's specialty?

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

Does Advanced Spine And Rehab PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1026047) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Spine And Rehab PC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.