David M Bleiler, D.C.
Individual provider Active NPI Chiropractor · Kingman, AZ
NPI 1114096989 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1114096989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1077 (AZ)
- Practice address
- 2139 Airway Ave
Kingman, AZ 86409-3669 - Phone
- (928) 757-2800
- Fax
- (928) 757-2772
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1077 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Life Centers, LTD. | Chiropractor | Past | Accepting new patients |
| Kingman Chiropractic Clinic PC | Chiropractor | Past |
Accepting new patients |
| Compass Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| First Chiropractic of Kingman | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1077 | AZ | Yes |
Addresses
Primary practice location
2139 Airway Ave
Kingman, AZ 86409-3669
Mailing address
2139 Airway Ave
Kingman, AZ 86409-3669
Phone (928) 757-2800
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.