Healthcare Provider Details

I. General information

NPI: 1497999817
Provider Name (Legal Business Name): DAVID ALAN SHIPITOFSKY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13754 W BELL RD
SURPRISE AZ
85374-3879
US

IV. Provider business mailing address

13754 W BELL RD
SURPRISE AZ
85374-3879
US

V. Phone/Fax

Practice location:
  • Phone: 602-942-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00802000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9176
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: