Jerry a Paulson DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6030 Issued in AZ

Legal business name

JERRY A PAULSON DC INC

Practice address

7671 E Buena Vista Dr
Prescott Valley, AZ 86314-5532

Phone

(928) 710-0019

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Arnold Paulson, D.C.

Title

Chiropractor

Phone

(928) 533-3311

Specialties & licenses 1

Addresses

Other names 1

• Stoneridge Chiropractic Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1275793838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 E BUENA VISTA DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145532",
            "telephone_number": "928-533-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 E BUENA VISTA DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145532",
            "telephone_number": "928-710-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A PAULSON DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "928-533-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneridge Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kavita Devi Jaikaran, DNP
• Karen M Jamison, NP
• Adrian Jantzi
• Kaylynn Nicole Janulewicz, LMT
• David Jenson, DNP, PMHNP, FNP
• Rajiv Jetly, M.D.
• Jodi Gilray PT PLLC
• John Paul Futral DC PLLC
• John R Markham PC
• Viviene Patricia Johnson Brown, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.