NPIMap

Organization Active NPI

Precision Spinal Care PLLC

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1154544617
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8023 & 8024 Issued in 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
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Joanne L Therriault, D.C.NPI 1548208739
Title
Office Manager
Phone
(928) 442-0202

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 8023 & 8024 AZ Primary

Addresses

Primary practice location

3733 Karicio LN
Prescott, AZ 86303-6829

Mailing address

3733 Karicio LN
Prescott, AZ 86303-6829
Phone (928) 442-0202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000000 AZ Part B Supplier - Clinic/Group Practice 8426158122 Receives reassigned benefits from 4 practitioners
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

1277 N Rhinestone Dr
Ste A
Prescott, AZ 86301
Phone (928) 442-0202

3733 Karicio Ln
Prescott, AZ 86303
Phone (928) 442-0202

Interoperability endpoints

  • Direct secure messaging: brianbenson@psc0002.direct.chirotouch.md
  • Direct secure messaging: joannetherriault@psc0002.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 4

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": "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. Last updated by the provider on Mar 17, 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.