NPIMap

Organization Active NPI

Derek Price Chiropractic PLLC

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1124296165
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5736 Issued in AZ
Legal business name
DEREK PRICE CHIROPRACTIC PLLC
Practice address
1868 Hiway 95
Bullhead City, AZ 86442-6804
Phone
(928) 763-8313
Fax
(928) 763-7995
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Derek Patrick Price, DCNPI 1023177672
Title
Chiropractor
Phone
(928) 763-8313

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 5736 AZ Primary

Addresses

Primary practice location

1868 Hiway 95
Bullhead City, AZ 86442-6804

Mailing address

1868 Hiway 95
Bullhead City, AZ 86442-6804
Phone (928) 763-8313

Other identifiers 2

IdentifierTypeStateIssuer
5736OtherAZAZ LICENSE
U68320OtherAZUPIN

Other names 1

  • First Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000607 AZ Part B Supplier - Clinic/Group Practice 4082655360 Receives reassigned benefits from 3 practitioners
Practice locations: Bullhead City, AZ

National Provider Directory

National Provider Directory

Locations

1868 Highway 95
Bullhead City, AZ 86442
Phone (928) 763-8313

Practitioners & affiliated clinicians

Practitioners 4

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1124296165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 HIWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426804",
            "telephone_number": "928-763-8313",
            "fax_number": "928-763-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 HIWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426804",
            "telephone_number": "928-763-8313",
            "fax_number": "928-763-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK PRICE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "928-763-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "5736",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U68320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.