Precision Spinal Care PLLC
Organization Active NPI Chiropractor · Prescott, AZ
NPI 1154544617 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1154544617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 8023 & 8024 (AZ)
- Legal business name
- PRECISION SPINAL CARE PLLC
- Practice address
- 3733 Karicio LN
Prescott, AZ 86303-6829 - Phone
- (928) 442-0202
- Fax
- (928) 776-8858
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joanne L Therriault, D.C.
- Title
- Office Manager
- Phone
- (928) 442-0202
Practitioners 4
-
Brian David Benson, D.C
-
Emma Leigh Stimatze, D.C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070711000000 | AZ | Part B Supplier - Clinic/Group Practice | 8426158122 |
Receives reassigned benefits from 4 practitioners Practice locations: Prescott, AZ |
National Provider Directory
Locations
3733 Karicio Ln
Prescott, AZ 86303
Phone (928) 442-0202
1277 N Rhinestone Dr
Ste A
Prescott, AZ 86301
Phone (928) 442-0202
Interoperability endpoints
- brianbenson@psc0002.direct.chirotouch.md
- joannetherriault@psc0002.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 8023 & 8024 | AZ | Yes |
Addresses
Primary practice location
3733 Karicio LN
Prescott, AZ 86303-6829
Mailing address
3733 Karicio LN
Prescott, AZ 86303-6829
Phone (928) 442-0202
NPI Registry JSON
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1154544617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 KARICIO LN",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863036829",
"telephone_number": "928-442-0202",
"fax_number": "928-776-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 KARICIO LN",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863036829",
"telephone_number": "928-442-0202",
"fax_number": "928-776-8858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION SPINAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "THERRIAULT",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "928-442-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "8023 & 8024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.