Organization Active NPI

Litchfield Park Chiropractic, PLC

  • Chiropractor
  • Litchfield Park, AZ
National Provider Identifier
1033254172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4819 Issued in AZ
Legal business name
LITCHFIELD PARK CHIROPRACTIC, PLC
Practice address
549 E Plaza Cir
Suite B
Litchfield Park, AZ 85340-4918
Phone
(623) 935-1999
Fax
(623) 535-0848
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carolyn Ann Huppert, DC, MUACNPI 1881736197
Title
Owner President
Phone
(623) 935-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4819 AZ Primary

Addresses

Primary practice location

549 E Plaza Cir
Suite B
Litchfield Park, AZ 85340-4918

Mailing address

549 E Plaza Cir
Suite B
Litchfield Park, AZ 85340-4918
Phone (623) 935-1999

Other identifiers 1

IdentifierTypeStateIssuer
AZ0250020OtherAZBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

549 E Plaza Cir
Ste B
Litchfield Pk, AZ 85340
Phone (602) 935-1999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033254172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E PLAZA CIR",
            "address_2": "SUITE B",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404918",
            "telephone_number": "623-935-1999",
            "fax_number": "623-535-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E PLAZA CIR",
            "address_2": "SUITE B",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404918",
            "telephone_number": "623-935-1999",
            "fax_number": "623-535-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD PARK CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUPPERT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "623-935-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MUAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0250020",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.