Advanced Spine and Rehab PC
NPI 1922020858ActiveOrganization· Chiropractor· Mesa, AZ
Chiropractor in Mesa, Arizona, registered in NPPES in July 2006. The authorized official on file is Michael David Crismon, DC, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922020858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2006 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5639 | AZ |
| Chiropractor | 111N00000X | 5447 | AZ |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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