Organization Active NPI

Valley Spinal Care Kierland PLLC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1154464493
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VALLEY SPINAL CARE KIERLAND PLLC
Practice address
15425 N Greenway Hayden Loop Ste A200
Scottsdale, AZ 85260-1239
Phone
(480) 443-7678
Fax
(480) 443-7661
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Authorized official

Name
Diana Butler
Title
Billing Manager
Phone
(480) 443-7678

Specialties & licenses 1

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

Addresses

Primary practice location

15425 N Greenway Hayden Loop Ste A200
Scottsdale, AZ 85260-1239

Mailing address

15425 N Greenway Hayden Loop Ste A200
Scottsdale, AZ 85260-1239
Phone (480) 443-7678

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@vsckierland.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050822000083 AZ Part B Supplier - Clinic/Group Practice 6507896321 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

15425 N Greenway Hayden Loop
Ste A200
Scottsdale, AZ 85260
Phone (480) 443-7678

6339 E Greenway Rd
Ste 104
Scottsdale, AZ 85254
Phone (480) 443-7678

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668816000000",
    "number": "1154464493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601239",
            "telephone_number": "480-443-7678",
            "fax_number": "480-443-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 N GREENWAY HAYDEN LOOP STE A200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601239",
            "telephone_number": "480-443-7678",
            "fax_number": "480-443-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SPINAL CARE KIERLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-11-19",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-443-7678"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vsckierland.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email messages",
            "address_1": "15425 N Greenway Hayden Loop Ste A200",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852601239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.