NPIMap

Individual provider Active NPI

Robert M King, D.C.

  • Chiropractor
  • Green Valley, AZ
National Provider Identifier
1083706238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ3335 Issued in AZ
Practice address
380 W Vista Hermosa Dr
#100
Green Valley, AZ 85614-1999
Phone
(520) 648-2225
Fax
(520) 625-9777
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AZ3335 AZ Primary

Addresses

Primary practice location

380 W Vista Hermosa Dr
#100
Green Valley, AZ 85614-1999

Mailing address

380 W Vista Hermosa Dr
#100
Green Valley, AZ 85614-1999
Phone (520) 648-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ3335AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocade, Inc. Chiropractor CurrentSince Nov 28, 2017 Accepting new patients
Green Valley Physical Medicine, Inc PastSince Nov 24, 2019 Accepting new patients

Locations

380 W Vista Hermosa Dr
Ste 100
Green Valley, AZ 85614
Phone (520) 648-2225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083706238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W VISTA HERMOSA DR",
            "address_2": "#100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141999",
            "telephone_number": "520-648-2225",
            "fax_number": "520-625-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W VISTA HERMOSA DR",
            "address_2": "#100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141999",
            "telephone_number": "520-648-2225",
            "fax_number": "520-625-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.