Organization Active NPI

Northern Arizona Spinal Care, PLLC

  • Chiropractor
  • Flagstaff, AZ
National Provider Identifier
1114008034
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6006 Issued in AZ
Legal business name
NORTHERN ARIZONA SPINAL CARE, PLLC
Practice address
2225 E 7TH Ave
Suite a and B
Flagstaff, AZ 86004
Phone
(928) 226-9195
Fax
(928) 226-9167
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Kai M G Bennett, DCNPI 1841252079
Title
Owner Doctor Og Chiropractic
Phone
(928) 226-9195

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6006 AZ Primary

Addresses

Primary practice location

2225 E 7TH Ave
Suite a and B
Flagstaff, AZ 86004

Mailing address

2225 E 7TH Ave
Suite a and B
Flagstaff, AZ 86004
Phone (928) 226-9195

National Provider Directory

National Provider Directory

Locations

2225 E 7th Ave
Ste A
Flagstaff, AZ 86004
Phone (928) 226-9195

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1114008034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E 7TH AVE",
            "address_2": "SUITE A AND B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-226-9195",
            "fax_number": "928-226-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E 7TH AVE",
            "address_2": "SUITE A AND B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-226-9195",
            "fax_number": "928-226-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA SPINAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KAI",
        "authorized_official_middle_name": "M G",
        "authorized_official_title_or_position": "OWNER DOCTOR OG CHIROPRACTIC",
        "authorized_official_telephone_number": "928-226-9195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.