Organization Active NPI

Kulp Family Chiropractic LLC

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1053701722
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8372 Issued in AZ
Legal business name
KULP FAMILY CHIROPRACTIC LLC
Practice address
20283 N Lake Pleasant Rd
Suite 112
Peoria, AZ 85382-9701
Phone
(623) 376-8225
Fax
(623) 376-8227
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Brandon Kulp, DC
Title
Owner/Chiropractor
Phone
(623) 376-8225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8372 AZ Primary

Addresses

Primary practice location

20283 N Lake Pleasant Rd
Suite 112
Peoria, AZ 85382-9701

Mailing address

20283 N Lake Pleasant Rd
Suite 112
Peoria, AZ 85382-9701
Phone (623) 376-8225

National Provider Directory

National Provider Directory

Locations

20283 N Lake Pleasant Rd
Ste 112
Peoria, AZ 85382
Phone (623) 376-8225

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": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1053701722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20283 N LAKE PLEASANT RD",
            "address_2": "SUITE 112",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829701",
            "telephone_number": "623-376-8225",
            "fax_number": "623-376-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20283 N LAKE PLEASANT RD",
            "address_2": "SUITE 112",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829701",
            "telephone_number": "623-376-8225",
            "fax_number": "623-376-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULP FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "623-376-8225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.