Chiropractic Fitness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7082 Issued in AZ

Legal business name

CHIROPRACTIC FITNESS CENTER

Practice address

809 Gail Gardner Way Ste B
Prescott, AZ 86305-1801

Phone

(928) 778-6200

Fax

(928) 778-9034

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Birt Chandler, D.C.NPI 1922200732

Title

Owner, Chiropractor

Phone

(928) 778-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas B Chandler, D.C.

  • Chiropractor
  • Prescott, AZ
  • NPI 1922200732
  NPD (past) Authorized official
• Michael O Stultz, D.C.

  • Chiropractor
  • Prescott, AZ
  • NPI 1053535963
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255421970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9870 S 46TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445533",
            "telephone_number": "928-778-6200",
            "fax_number": "928-778-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 GAIL GARDNER WAY STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051801",
            "telephone_number": "928-778-6200",
            "fax_number": "928-778-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FITNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BIRT",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "928-778-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0938370",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim David Chen, D.O.
• Lori A Cheney, APN
• Harry Wayne Chesser Jr., DDS
• Nanette Jo Chevalier, BOARD CERTIFIED
• Grace Chien, DNP, FNP-C
• Malgorzata Chmura-Witusik, RN
• Brett James Christensen, OD
• Eric Clayton Christensen, M.D.
• Gbemisola Yemisi Chukwu, PMHNP
• Annette B. Church, LPC, LISAC

• Chiropractor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.