Individual provider Active NPI

Andrea K Kurelowech, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1285038547
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8430 Issued in AZ
Practice address
1130 E Missouri Ave
Ste 180
Phoenix, AZ 85014-2736
Phone
(602) 358-7688
Fax
(602) 883-7878
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8430 AZ Primary

Addresses

Primary practice location

1130 E Missouri Ave
Ste 180
Phoenix, AZ 85014-2736

Mailing address

1130 E Missouri Ave
Ste 180
Phoenix, AZ 85014-2736
Phone (602) 358-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8430AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Chiropractic PC Past Accepting new patients
Premier Chiro PC Chiropractor PastSince May 1, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1285038547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "address_2": "STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142736",
            "telephone_number": "602-358-7688",
            "fax_number": "602-883-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "address_2": "STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142736",
            "telephone_number": "602-358-7688",
            "fax_number": "602-883-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURELOWECH",
        "first_name": "ANDREA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.