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AGAVE CHIROPRACTIC, LLC
NPI 1982046975
Chiropractor in Phoenix, AZ

Active since July 19, 2013
3040 N 44TH ST, SUITE 3, PHOENIX, AZ 85018(602) 956-8736(602) 956-8769 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Agave Chiropractic, Llc NPPES

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

AGAVE CHIROPRACTIC, LLC (NPI 1982046975) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since July 2013. The organization lists Paul Van Berkel, Owner, as its authorized official.

NPPES Registry Identity

NPI1982046975
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameAGAVE CHIROPRACTIC, LLC
Location Address3040 N 44TH ST, SUITE 3Phoenix, AZ 85018-7225
Mailing Address3040 N 44th St, Suite 3Phoenix, AZ 85018-7225 · (602) 956-8736 · Fax (602) 956-8769
Phone(602) 956-8736
Fax(602) 956-8769
Organization SubpartNo
Authorized OfficialPaul Van BerkelOwner · (602) 956-8736
Enumeration DateJuly 19, 2013
Last NPPES UpdateJuly 30, 2013
✔ NPI 1982046975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 5355
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.
3040 N 44TH ST, Phoenix, AZ 85018
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZ29423AZ

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)

Agave Chiropractic, Llc 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 Agave Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Van Berkel, D.C.
Chiropractic
NPI 1902824311
3818 E INDIAN SCHOOL RD
Phoenix, AZ 85018
(602) 956-8736
✔ Accepts Medicare1.1 mi

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 Agave Chiropractic, LLC's NPI number?

The NPI number for Agave Chiropractic, LLC is 1982046975. It was assigned to this organization in the NPPES registry on July 19, 2013.

Where is Agave Chiropractic, LLC located?

Agave Chiropractic, LLC is located at 3040 N 44th St Suite 3, Phoenix, AZ 85018. The listed phone number is (602) 956-8736.

What is Agave Chiropractic, LLC's specialty?

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

Is Agave Chiropractic, LLC enrolled in Medicare?

Yes. Agave Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agave Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Agave Chiropractic, LLC. 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 Agave Chiropractic, LLC was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.