Healthcare Provider Details

I. General information

NPI: 1295159812
Provider Name (Legal Business Name): ROBERT COX D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18501 N THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-6087
US

IV. Provider business mailing address

18501 N THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-6087
US

V. Phone/Fax

Practice location:
  • Phone: 480-515-4053
  • Fax:
Mailing address:
  • Phone: 480-515-4053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number012494
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number012494
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: