Agave Chiropractic, LLC
NPI 1982046975ActiveOrganization· Chiropractor· Phoenix, AZ
Chiropractor in Phoenix, Arizona, registered in NPPES in July 2013. The authorized official on file is Paul Van Berkel, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982046975 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2013 |
| Last updated in NPPES | Jul 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5355 | AZ |
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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